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Dietary & Nutritional Service Providers Nutritionist

Provider NPI: 1538583653

Organization Information:
Organization is not Subpart

Practice Location:
2300 24TH ROAD SOUTH #624  ARLINGTON, VA 22206 US
Tel: 571-435-5032  Fax: --

Business Mailing Address:
2300 24TH ROAD SOUTH #624  ARLINGTON, VA 22206 US
Tel: --  Fax: --

NPI Information:
NPI: 1538583653
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
N133N00000XDietary & Nutritional Service Providers
Home Health
Early Intervention Provider Agency
N261QA0005XAmbulatory Health Care Facilities
Chronic Disease Hospital
Chronic Disease Hospital
General Acute Care Hospital
Clinical Medical Laboratory
Physiological Laboratory
N302F00000XManaged Care Organizations
Exclusive Provider Organization
N302F00000XManaged Care Organizations
Exclusive Provider Organization
N302R00000XManaged Care Organizations
Health Maintenance Organization
N305R00000XManaged Care Organizations
Preferred Provider Organization
N305S00000XManaged Care Organizations
Point of Service
Case Management

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 251B00000X





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