Mariam Gedevanishvili in Covington - Nutrition, Education
Mariam Gedevanishvili - NPI 1083778104
Mariam Gedevanishvili is a Nutrition, Education in Covington, Washington. Mariam Gedevanishvili practices all healthcare services and medical treatments related to Nutrition, Education. The NPI Number for Mariam Gedevanishvili is 1083778104. The last update date is 2012-06-11.
Mariam Gedevanishvili's current location address is 18622 Se 265th St, Covington, Washington. You can contact this provider via phone number 2067551758 and fax number 2538832686. The mailing address for Mariam Gedevanishvili is 18622 Se 265th St, Covington, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mariam Gedevanishvili |
|---|---|
| Address | 18622 Se 265th St, Covington, Washington |
| Phone Number | 2067551758 |
| Fax Number | 2538832686 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1083778104 |
|---|---|
| Provider Enumeration Date | 2006-12-21 |
| Last Updated Date | 2012-06-11 |
Provider Mailing Address Detail
| Address | 18622 Se 265th St |
|---|---|
| City | Covington |
| State | Washington (WA) |
| Post Code | 980428421 |
| Phone Number | 2067551758 |
| Fax Number | 2538832686 |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Education |
|---|---|
| Taxonomy | 133Nn1002X |
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Definition: A nutritionist who educates people about nutrition and healthy eating. |
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Post Comment/ Review Below
What is the unique identifier code issued to Mariam Gedevanishvili by the Centers for Medicare & Medicaid Services (CMS)?
The Mariam Gedevanishvili has been assigned the NPI (National Provider Identifier) 1083778104. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Mariam Gedevanishvili?
The Mariam Gedevanishvili is physically situated at 18622 Se 265Th St, in the city of Covington, state of WA, with the postal code 980428421.
What is Mariam Gedevanishvili's specialized field of practice, and what is the corresponding taxonomy classification code?
The Mariam Gedevanishvili's area of specialization is Nutrition, Education, and the corresponding taxonomy code that categorizes this field of practice is 133Nn1002X.
On what date did the Mariam Gedevanishvili receive its 1083778104 assignment from the Centers for Medicare & Medicaid Services?
The Mariam Gedevanishvili was assigned its 1083778104 by the Centers for Medicare & Medicaid Services on 2006-12-21.
When was the Mariam Gedevanishvili's information last updated?
The Mariam Gedevanishvili's information was last updated on 2012-06-11.