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Organization

HAESUN HWANG NUTRITION CONSULTING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. HAESUN HWANG MS.RD.CDE. (OWNER)
(571) 274-1034
Entity
Organization

Contact information

Practice address
6300 STEVENSON AVE STE D, ALEXANDRIA, VA 22304-3554
(571) 274-1034
(703) 774-3923
Mailing address
11432 CHARTRES WAY, FAIRFAX, VA 22030-0980
(571) 274-1034
(703) 774-3923

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
S345186-3
VA

Other

Enumeration date
11/23/2010
Last updated
01/05/2011
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