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NPI Code Detail

MEDICARE: ALICIA DAN NUTRITION

MEDICARE: ALICIA DAN NUTRITION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian

General Provider Information

NPI Number : 1063363802
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALICIA DAN NUTRITION
Provider Business Mailing Address
First Line : 1666 E OLIVE WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98102-5627
Country : US
Telephone Number :
Fax Number : 206-590-5929
Provider Business Practice Location Address
First Line : 1666 E OLIVE WAY
Second Line :
City : SEATTLE
State : WA
Zip : 98102-5627
Country : US
Telephone Number : 253-237-4062
Fax Number : 206-590-5929
Authorized Official
Title or Position : OWNER
Name : ALICIA YANG
Credential : RDN, IBCLC
Telephone Number : 253-237-4062
Provider Enumeration Date : 02/06/2026
Last Update Date : 02/06/2026

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Directions to “ALICIA DAN NUTRITION ” Practice Location

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