Individual
MRS. GRACE LANGE KOPF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6953 FIELDWOOD RD, CHESTER, VA 23831-3832
(804) 437-2889
Mailing address
4318 OLD HUNDRED RD RM E, CHESTER, VA 23831-4231
(048) 592-0095
(804) 655-6183
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
920888
VA
Other
Enumeration date
08/26/2020
Last updated
01/28/2021
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