Individual
MS. JANE STOLKA RYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, RD, CDE
Contact information
Practice address
3700 JOSEPH SIEWICK DR, SUITE 408A, FAIRFAX, VA 22033-1744
(703) 391-3746
(703) 391-3846
Mailing address
10611 FIESTA RD, FAIRFAX, VA 22032-3711
(703) 764-3885
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
539475
—
Other
Enumeration date
05/27/2010
Last updated
05/27/2010
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