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Individual

MS. VILASAVATHI VENKATACHALAM

Active
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Individual

MS. VILASAVATHI VENKATACHALAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RDN

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
881134
NJ
133V00000X
Registered Dietitian
Primary
881134
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39117-DI-1
DEPARTMENT OF HEALTH AND HUMAN SERVICES
NV
01
—
60234936
WASHINGTON STATE DEPARTMENT OF HEALTH/DIETITIAN CERTIFICATION
WA
01
—
881134
COMMISSION ON DIETETIC REGISTRATION
—
Enumeration date
10/08/2009
Last updated
10/29/2020
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