| NPI | 1659788909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIA ISAC MITCHELL Registered Dietitian 703-389-6612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: DC D1100000386) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |