Individual
ANGELA SPENCER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD, CTTS, CH
Contact information
Practice address
2924 EMERYWOOD PKWY STE 103, RICHMOND, VA 23294-3746
(804) 527-0815
Mailing address
2924 EMERYWOOD PKWY STE 103, RICHMOND, VA 23294-3746
(804) 527-0815
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2018026835
VA
133VN1006X
Metabolic Nutrition Registered Dietitian
1019447
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1019447
CDR
VA
01
—
2018026835
LD
VA
Enumeration date
11/21/2018
Last updated
11/21/2018
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