# CARLEE MOELLER DIETITIAN CONSULTANT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1841797131
- **Authorized official:** CARLEE MOELLER R.D. (REGISTERED DIETITIAN)
- **Authorized official phone:** (805) 714-6381

## Contact information

- **Practice address:** 7001 W BROAD ST, RICHMOND, VA 23294-3701
- **Practice address phone:** (804) 714-6381
- **Mailing address:** 4933 SADLER GLEN CT, GLEN ALLEN, VA 23060-6171
- **Mailing address phone:** (804) 714-6381
- **Mailing address fax:** (804) 672-7919

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 133VN1005X | Renal Nutrition Registered Dietitian | 992809 | WA | Yes |

## Other

- **Enumeration date:** 04/12/2018
- **Last updated:** 04/12/2018