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Organization
POTOMAC WELLNESS
Active
Organization
POTOMAC WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELINDA KAY WIELAND RD, RN, CDE (PRESIDENT)
(571) 348-4451
Entity
Organization
Contact information
Practice address
46494 PRIMULA CT, STERLING, VA 20165-7248
(571) 348-4451
Mailing address
46494 PRIMULA CT, STERLING, VA 20165-7248
(571) 348-4451
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
708956
—
163WD0400X
Diabetes Educator Registered Nurse
0001149354
VA
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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