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Individual

MS. JUDY ELLEN CAPLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
R,D

Contact information

Practice address
11440 COMMERCE PARK DR, SUITE LL1A, RESTON, VA 20191-1555
(703) 860-2922
Mailing address
2131 TWIN MILL LN, OAKTON, VA 22124-1022
(703) 758-2399
(703) 648-0926

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
948130
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
948130
COM. ON DIETETIC REGISTRA
VA
Enumeration date
05/14/2007
Last updated
07/08/2007
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