Individual
MRS. LAURA M STAVINOHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
5055 RED FERN CT, MIDLOTHIAN, VA 23112-6558
(804) 437-0127
Mailing address
5055 RED FERN CT, MIDLOTHIAN, VA 23112-6558
(804) 437-0127
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86131552
VA
Other
Enumeration date
03/08/2025
Last updated
03/08/2025
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