Individual
ILSE O'BRIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6501 LOISDALE CT, SPRINGFIELD, VA 22150-1826
(703) 922-1000
(301) 816-7170
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE, ROCKVILLE, MD 20852-4908
(301) 816-7405
(301) 388-1740
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
609194
VA
Other
Enumeration date
03/09/2007
Last updated
07/07/2021
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