COURTNEY BASCOM

CHARLOTTESVILLE, VA
NPI1003312315
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   86077676)
Enumeration Date2018-04-04
Last Update Date2018-04-04
Business Address
COURTNEY BASCOM
1300 JEFFERSON PARK AVE FL 4
CHARLOTTESVILLE, VA 22903-3363
Phone number: 434-924-5367
Mailing Address
COURTNEY BASCOM
361 1ST ST N
CHARLOTTESVILLE, VA 22902-5004
Phone number:
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