Individual
NICOLE EVANGELISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
815 18TH ST S APT 601, ARLINGTON, VA 22202-2633
(732) 598-8495
Mailing address
815 18TH ST S APT 601, ARLINGTON, VA 22202-2633
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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