Provider Demographics
NPI:1629466420
Name:RICE, CHRISTIANE ELIZABETH WAKE (RDN, CDN, CDE)
Entity Type:Individual
Prefix:
First Name:CHRISTIANE
Middle Name:ELIZABETH WAKE
Last Name:RICE
Suffix:
Gender:F
Credentials:RDN, CDN, CDE
Other - Prefix:
Other - First Name:CHRISTIANE
Other - Middle Name:ELIZABETH
Other - Last Name:WAKE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:19101 36TH AVE W SUITE 207
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036
Mailing Address - Country:US
Mailing Address - Phone:425-802-2196
Mailing Address - Fax:
Practice Address - Street 1:19101 36TH AVE W SUITE 207
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036
Practice Address - Country:US
Practice Address - Phone:425-802-2196
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-12-31
Last Update Date:2016-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1027068133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered