Dynamic Nutrition NW LLC
NPI #1780269902 in Issaquah, Washington
Provider Information
- NPI Number
- 1780269902
- Entity Type
- Organization
- Organization Name
- Dynamic Nutrition NW LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- Mar 10, 2021
- Last Updated
- Mar 10, 2021
Practice Location
- Address
- 5811 187TH AVE SE
- City
- Issaquah
- State
- Washington
- ZIP Code
- 98027-8620
- Phone
- (425) 470-3458
Authorized Official
- Name
- EVANGELIA FACCHINE, RD, CD
- Title
- OWNER
- Phone
- (732) 986-2633
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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