Mary Elizabeth Douglas, CN

NPI #1982123857 in Redmond, Washington

Provider Information

NPI Number: 1982123857
Entity Type: Individual
Name: Mary Elizabeth Douglas, CN
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Credential: CN
Enumeration Date: Sep 12, 2017
Last Updated: Sep 12, 2017

Practice Location

Address: 15965 NE 85TH ST STE 102
City: Redmond
State: Washington
ZIP Code: 98052-3593
Phone: (425) 882-9065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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