Provider Demographics
NPI:1609391424
Name:STRAND, JANICE MARIE (NTP,CGP,CHT)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:MARIE
Last Name:STRAND
Suffix:
Gender:F
Credentials:NTP,CGP,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8414 121ST PL SE
Mailing Address - Street 2:
Mailing Address - City:NEWCASTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98056-4406
Mailing Address - Country:US
Mailing Address - Phone:206-617-0908
Mailing Address - Fax:
Practice Address - Street 1:15600 REDMOND WAY STE 303
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3862
Practice Address - Country:US
Practice Address - Phone:206-617-0908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-14
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA1129133NN1002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133NN1002XDietary & Nutritional Service ProvidersNutritionistNutrition, Education