Individual
PRAVEENA KANDALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MNT
Contact information
Practice address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
Mailing address
601 COLLIERS WAY, WEIRTON, WV 26062-5014
(304) 797-6000
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
511
WV
Other
Enumeration date
03/26/2007
Last updated
12/23/2021
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