Provider Demographics
NPI:1407662976
Name:JOSETTE CURTIS RD
Entity type:Organization
Organization Name:JOSETTE CURTIS RD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOSETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:CURTIS
Authorized Official - Suffix:
Authorized Official - Credentials:RD
Authorized Official - Phone:360-873-1474
Mailing Address - Street 1:4402 FIR CREST CT
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-8763
Mailing Address - Country:US
Mailing Address - Phone:360-873-1474
Mailing Address - Fax:
Practice Address - Street 1:4402 FIR CREST CT
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-8763
Practice Address - Country:US
Practice Address - Phone:360-873-1474
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-12-09
Last Update Date:2024-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty