Individual
SHAINA DUVALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
11696 STOCKBRIDGE LN, RESTON, VA 20194-1608
(571) 749-5548
Mailing address
11654 PLAZA AMERICA DR, RESTON, VA 20190-4700
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DX5192
MD
133V00000X
Registered Dietitian
Primary
ND8618
FL
Other
Enumeration date
03/29/2023
Last updated
04/14/2023
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