Individual
MRS. ANGELA TAVOLACCI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSNS
Contact information
Practice address
5914 WESTCHESTER ST, ALEXANDRIA, VA 22310-1139
(269) 277-3795
Mailing address
5914 WESTCHESTER ST, ALEXANDRIA, VA 22310-1139
(269) 277-3795
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
02/26/2018
Last updated
02/26/2018
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