Fonda, Christa Diane

Fonda, Christa Diane is an sole proprietor health care provider with primary practice located at 10004 204Th Ave E , Bonney Lake WA 98391-6539. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Fonda, Christa Diane can be contacted via phone (253) 863-7510.

Contact Information

Primary practice address
10004 204Th Ave E Bonney Lake WA 98391-6539
Fax: (253) 863-5970
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X D160029159 Washington

Profile Details

NPI number 1891192282
LBN Legal business name Fonda, Christa Diane
Credentials RD, CDR
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 1st, 2014
Last updated Dec 1st, 2014 - about 11 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.

Request for update

Popular Providers