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Individual

LAN CHI THI NGUYEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, RD

Contact information

Practice address
14743 TAMARACK PL, WOODBRIDGE, VA 22191-3135
(240) 601-4097
Mailing address
14743 TAMARACK PL, WOODBRIDGE, VA 22191-3135
(240) 601-4097

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
01012253
DC
133V00000X
Registered Dietitian
Primary
01012253
VA

Other

Enumeration date
09/06/2016
Last updated
09/06/2016
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