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Organization

ENERGIZE YOUR SIZE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CYNTHIA RICH PALMERINO MS, RD, IBCLC (REGISTERED DIETITIAN)
(703) 360-1093
Entity
Organization

Contact information

Practice address
8237 CHANCERY CT, ALEXANDRIA, VA 22308-1515
(858) 212-7239
(703) 373-3921
Mailing address
8237 CHANCERY CT, ALEXANDRIA, VA 22308-1515
(858) 212-7239

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1821361122
NPI
VA
Enumeration date
11/08/2012
Last updated
11/08/2012
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