Liv Mongillo, M.S., R.D.N., C.D.

Registered Dietitian · Kent, WA

Individual Active NPI

NPI number 1730581711

Practice location

25012 104TH Ave SE
Suite C
Kent, WA 98030-2821
Phone
(253) 856-3477
Fax
(253) 856-3478

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NPI record

NPI
1730581711
Entity type
Individual (Type 1)
Enumeration date
September 21, 2014
Last updated
December 3, 2014
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Registered Dietitian Primary 133V00000X DI60436312 WA

Mailing address

PO Box 2170
Sumner, WA 98390-0480
Phone
(253) 840-2313
Fax
(253) 840-6340

About Liv Mongillo

Liv Mongillo, M.S., R.D.N., C.D. is a healthcare provider registered in the NPI registry with the primary taxonomy Registered Dietitian (code 133V00000X). The practice location is 25012 104TH Ave SE, Suite C, Kent, WA 98030-2821. The NPI number 1730581711 was assigned on September 21, 2014 and the record was last updated on December 3, 2014.

Liv Mongillo lists a license in the registry: #DI60436312 (WA) for Registered Dietitian. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Liv Mongillo, M.S., R.D.N., C.D.?

The NPI number is 1730581711.

What is the phone number of Liv Mongillo?

The phone number listed for the practice location is (253) 856-3477.

Where is Liv Mongillo located?

25012 104TH Ave SE, Suite C, Kent, WA 98030-2821.

What is the taxonomy code for Liv Mongillo?

The primary taxonomy code is 133V00000X – Registered Dietitian.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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