Doctor Name: | SYBIL HIGGINS GAUTREAU |
NPI Number: | 1598822199 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.D., M.A. |
License Number: | DI0000223 |
Business Practice Address: | 3001 Ne 4th St Renton, WA - 980564122 |
Business Phone Number: | 2062964700 |
Business Fax Number: | 2062960568 |
Mailing Address: | 7729 120th Pl Se, NEWCASTLE |
State: | WA |
Postal Code: | 980569190 |
Phone Number: | 4252269823 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | DI0000223 |
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 |