Individual
NIRVANA ABOU-GABAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS, LDN
Contact information
Practice address
4445 CORPORATION LN STE 264, VIRGINIA BEACH, VA 23462-3262
(202) 460-7030
Mailing address
PO BOX 591, IVY, VA 22945-0591
(202) 460-7030
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX5300
MD
Other
Enumeration date
09/26/2022
Last updated
09/26/2022
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