Individual
SONYA ISLAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
1250 E MARSHALL ST, PEDIATRICS, RICHMOND, VA 23298-5051
(804) 527-4707
(804) 527-4728
Mailing address
PO BOX 91734, RICHMOND, VA 23291-1734
(804) 358-6100
(804) 342-7619
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
986124
VA
Other
Enumeration date
02/11/2016
Last updated
08/01/2016
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