Individual
MALLORY FOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CNSC
Contact information
Practice address
1300 JEFFERSON PARK AVE, CHARLOTTESVILLE, VA 22903-3363
(434) 243-0871
Mailing address
PO BOX 800673, CHARLOTTESVILLE, VA 22908-0673
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86028750
—
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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