Debra Ann Boutin, MS, RD, CD

NPI #1669511358 in Kenmore, Washington

Provider Information

NPI Number: 1669511358
Entity Type: Individual
Name: Debra Ann Boutin, MS, RD, CD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: MS, RD, CD
Enumeration Date: Feb 6, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 14500 JUANITA DR NE
City: Kenmore
State: Washington
ZIP Code: 98028-4966
Phone: (425) 602-3124

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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