| NPI | 1588056139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA ISAC MITCHELL Registered Dietitian Nutritionist 703-389-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: DC D1100000386) |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2015-02-19 |