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Organization
YOUR DIABETES COACH, LLC
Active
Organization
YOUR DIABETES COACH, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAVITHA FELIX-JOHNSON RD, CDE (OWNER)
(571) 244-9772
Entity
Organization
Contact information
Practice address
13800 COPPERMINE RD FL 1, HERNDON, VA 20171-6163
(571) 244-9772
Mailing address
42430 BENFOLD SQ, BRAMBLETON, VA 20148-7606
(571) 244-9772
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/11/2018
Last updated
09/11/2018
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