Fonda, Christa Diane
Fonda, Christa Diane is an sole proprietor health care provider with primary practice located at 10004 204Th Ave E , Bonney Lake WA 98391-6539. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Fonda, Christa Diane can be contacted via phone (253) 863-7510.Contact Information
Primary practice address
10004 204Th Ave E
Bonney Lake WA 98391-6539
Phone: (253) 863-7510
Fax: (253) 863-5970
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | D160029159 | Washington |
Profile Details
| NPI number | 1891192282 |
|---|---|
| LBN Legal business name | Fonda, Christa Diane |
| Credentials | RD, CDR |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 1st, 2014 |
| Last updated | Dec 1st, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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