Organization
CITRUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VANITA JAIN RAHMAN M.D., C.N.S (OWNER)
(202) 677-5433
Entity
Organization
Contact information
Practice address
1915 RHODE ISLAND AVE, MC LEAN, VA 22101-4919
(202) 677-5433
Mailing address
1915 RHODE ISLAND AVE, MC LEAN, VA 22101-4919
(202) 677-5433
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
174H00000X
Health Educator
—
—
Other
Enumeration date
04/29/2014
Last updated
04/29/2014
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