Individual
MRS. DILAFROZE AYESHA THANADAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
301 GOODE WAY, SUITE 201, PORTSMOUTH, VA 23704-2266
(757) 397-0709
(757) 483-0726
Mailing address
301 GOODE WAY, SUITE 201, PORTSMOUTH, VA 23704-2266
(757) 397-0709
(757) 483-0726
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
07/12/2007
Last updated
07/12/2007
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