Organization
PURPOSEFULL NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARA NICOLE CHRISTIE RDN (REGISTERED DIETITIAN)
(703) 677-7250
Entity
Organization
Contact information
Practice address
2110 GALLOWS RD STE D, VIENNA, VA 22182-3962
(703) 350-6506
Mailing address
3404 GALLOWS RD, ANNANDALE, VA 22003-1417
(703) 677-7250
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
02/08/2022
Last updated
02/08/2022
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