Living Well Kent Collaborative
NPI #1760945968 in Kent, Washington
Provider Information
- NPI Number
- 1760945968
- Entity Type
- Organization
- Organization Name
- Living Well Kent Collaborative
- Primary Specialty
- Nutritionist - Nutrition, Education
- Enumeration Date
- Apr 13, 2019
- Last Updated
- Apr 13, 2019
Practice Location
- Address
- 515 W HARRISON ST STE 208
- City
- Kent
- State
- Washington
- ZIP Code
- 98032-4403
- Phone
- (253) 457-2964
Authorized Official
- Name
- SHAMSO ISSAK
- Title
- EXECUTIVE DIRECTOR
- Phone
- (253) 457-2964
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nutritionist - Nutrition, Education — Nutrition, Education |
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