Doctor Name: | MAMI SORAJO |
NPI Number: | 1093146292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D. |
License Number: | DI 00001474 |
Business Practice Address: | 2904 4th Ave Ne Ste 300 Puyallup, WA - 983727053 |
Business Phone Number: | 2538406448 |
Business Fax Number: | |
Mailing Address: | Po Box 2170, SUMNER |
State: | WA |
Postal Code: | 983900480 |
Phone Number: | 2538402313 |
Fax Number: | |
NPI Enumeration Date: | 12/13/2013 |
NPI Last Update Date: | 12/13/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI 00001474 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |