IndividualActive
Trevor Waldoch, CN
NPI 1114761442 · Nutrition Education Nutritionist · Yakima, WA
Provider details
- NPI number
- 1114761442
- Entity type
- Individual
- Primary specialty
- Nutrition Education NutritionistDietary & Nutritional Service Providers
- Credential
- CN
- Sex
- Male
- Sole proprietor
- Yes
- License
- 61559225 (WA)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
206 N 24th Ave
Yakima, WA 98902-2366
Phone: (651) 249-3834
Approximate (ZIP-level) locationGet directions
Mailing address
206 N 24th Ave
Yakima, WA 98902-2366
Registry dates
- Enumerated
- 2024-06-21
- Last updated
- 2024-06-21
- Certified
- 2024-06-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.