Daniels, Lisa Charissima
Daniels, Lisa Charissima is an sole proprietor health care provider with primary practice located at 3903 Lieseke Ln Sw , Port Orchard WA 98367-9300. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Daniels, Lisa Charissima can be contacted via phone (703) 895-0061.Contact Information
Primary practice address
3903 Lieseke Ln Sw
Port Orchard WA 98367-9300
Phone: (703) 895-0061
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | DI-61400947 | Washington |
Profile Details
| NPI number | 1396430021 |
|---|---|
| LBN Legal business name | Daniels, Lisa Charissima |
| Credentials | PH.D., R.D.N. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2023 |
| Last updated | Apr 10th, 2023 - about 2 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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