THEA N BOATSWAIN

HERNDON, VA
NPI1679113369
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
Additional Taxonomies133N00000X Nutritionist
133NN1002X Nutritionist, Nutrition, Education
Enumeration Date2020-01-09
Last Update Date2024-12-18
Business Address
THEA N BOATSWAIN MS, RD
13800 COPPERMINE RD FL 123
HERNDON, VA 20171-6163
Phone number: 202-600-9826
Mailing Address
THEA N BOATSWAIN MS, RD
13800 COPPERMINE RD FL 123
HERNDON, VA 20171-6163
Phone number: 202-600-9826