MATTHEW GLEN KOONTZ

BELLEVUE, WA
NPI1821609678
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Additional Taxonomies136A00000X Dietetic Technician, Registered
Enumeration Date2020-08-14
Last Update Date2023-05-10
Business Address
Mr. MATTHEW GLEN KOONTZ RD
10900 NE 4TH ST STE 2300
BELLEVUE, WA 98004-5882
Phone number: 425-633-2022
Mailing Address
Mr. MATTHEW GLEN KOONTZ RD
16550 NE 79TH ST APT 121
REDMOND, WA 98052-2474
Phone number: 425-633-2022