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NPI Code Detail

MEDICARE: CRYSTAL LOVE FRANCK RD

MEDICARE: CRYSTAL LOVE FRANCK RD
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 Dietitian00988663
2133N00000XNutritionist00988663WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
100988663OTHERRD/RDN
260815340OTHERWACD

General Provider Information

NPI Number : 1952818502
Entity Type Code : Individual
Provider Name (Legal Business Name) : CRYSTAL LOVE FRANCK RD
Provider Business Mailing Address
First Line : 3501 OAKES AVE
Second Line :
City : EVERETT
State : WA
Zip : 98201-5010
Country : US
Telephone Number : 206-276-2644
Fax Number :
Provider Business Practice Location Address
First Line : 8301B 5TH AVE NE
Second Line :
City : SEATTLE
State : WA
Zip : 98115-4118
Country : US
Telephone Number : 206-799-7010
Fax Number : 206-866-0204
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/04/2018
Last Update Date : 09/05/2025

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Directions to “ CRYSTAL LOVE FRANCK RD” Practice Location

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