Individual
MARIA KIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
209 MADISON ST, ALEXANDRIA, VA 22314-1764
(512) 596-1705
Mailing address
209 MADISON ST STE 3B&3C, ALEXANDRIA, VA 22314-1764
(703) 988-3475
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/11/2020
Last updated
03/16/2022
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