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MIA THERESA ISAAC-MERCER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NDTR

Contact information

Practice address
311 RIDGEVIEW DR, NEWPORT NEWS, VA 23608-1290
(786) 546-9909
Mailing address
311 RIDGEVIEW DR, NEWPORT NEWS, VA 23608-1290
(786) 546-9909

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
897242
VA
136A00000X
Registered Dietetic Technician
Primary
897242
VA

Other

Enumeration date
05/05/2020
Last updated
05/05/2020
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