Individual
MRS. ELIZABETH MARIE MCMILLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
2944 HUNTER MILL RD STE 101, OAKTON, VA 22124-1761
(571) 529-6699
Mailing address
10855 GAMBRIL DR APT 31, MANASSAS, VA 20109-6584
(610) 698-1063
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4166
MD
Other
Enumeration date
06/22/2017
Last updated
06/22/2017
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