Doctor Name: | MRS. CHARLENE K. MIZE |
NPI Number: | 1497984108 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DI |
License Number: | 984556 |
Business Practice Address: | 521 E Mountain View Ave Ellensburg, WA - 989263865 |
Business Phone Number: | 5099621414 |
Business Fax Number: | 5099621408 |
Mailing Address: | 501 S 5th Ave, YAKIMA |
State: | WA |
Postal Code: | 989023550 |
Phone Number: | 5094946700 |
Fax Number: | 5095736275 |
NPI Enumeration Date: | 07/02/2009 |
NPI Last Update Date: | 01/11/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | 984556 |
Healthcare Provider Taxonomy: (Secondary) | N |
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 |