Provider Demographics
NPI:1700988391
Name:NUTRITION SOLUTIONS LLC
Entity Type:Organization
Organization Name:NUTRITION SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTING DIETITIAN
Authorized Official - Prefix:
Authorized Official - First Name:CYNAMON
Authorized Official - Middle Name:
Authorized Official - Last Name:QUINTON
Authorized Official - Suffix:
Authorized Official - Credentials:MS,RD,CD
Authorized Official - Phone:253-350-4477
Mailing Address - Street 1:22607 141ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98042-3846
Mailing Address - Country:US
Mailing Address - Phone:253-350-4477
Mailing Address - Fax:253-630-2292
Practice Address - Street 1:500 SW 39TH ST
Practice Address - Street 2:SUITE 150
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-4915
Practice Address - Country:US
Practice Address - Phone:425-264-2584
Practice Address - Fax:253-630-2292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-02
Last Update Date:2007-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00001592133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty