BONITA LILLIE

ALEXANDRIA, VA
NPI1134305857
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MO  2004009119)
Enumeration Date2008-01-11
Last Update Date2008-09-18
Business Address
-- BONITA LILLIE RD
2121 EISENHOWER AVE SUITE 200
ALEXANDRIA, VA 22314-4698
Phone number: 703-519-0901
Mailing Address
-- BONITA LILLIE RD
5412 CASTLE BAR LN
ALEXANDRIA, VA 22315-5519
Phone number: 703-879-5160
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