Most Relevant Information
Provider Data
| NPI Number: | 1003669516 |
| Provider Name: | ALYSSA EVERITT RD, MSW, LSWAIC |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: |
Most Important Dates
| Enumeration Date: | 04/08/2024 |
| Last Updated: | 04/08/2024 |
Provider Practice Location
4628 S GAZELLE ST
SEATTLE
WA
981185636
Practice Location Phone/Fax
| Phone: | 3038152314 |
| Fax: |
Provider Mailing Location
4628 S GAZELLE ST
SEATTLE
WA
981185636
Provider Mailing Phone/Fax
| Phone: | 3038152314 |
| Fax: |