Individual
MRS. REGINE BIRKENHAUER DALLOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
1250 E MARSHALL ST, REGISTERED DIETITIAN, RICHMOND, VA 23298-0294
(804) 828-0970
(804) 628-0921
Mailing address
PO BOX 758997, BALTIMORE, MD 21275-0001
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
610752
VA
Other
Enumeration date
06/24/2006
Last updated
07/09/2007
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