Organization
LISTEN NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA INGRAHAM RDN (REGISTERED DIETITIAN)
(202) 670-9674
Entity
Organization
Contact information
Practice address
8637 MATHIS AVE, MANASSAS, VA 20110-5270
(202) 670-9674
Mailing address
1602 BELLE VIEW BLVD, PMB 4170, ALEXANDRIA, VA 22307-2035
(585) 506-5780
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/12/2021
Last updated
01/29/2022
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