Organization
JUNO WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA PESTANA CNS, LDN (NUTRITION DIRECTOR)
(703) 775-4000
Entity
Organization
Contact information
Practice address
492 ELDEN ST, HERNDON, VA 20170-4513
(703) 775-4000
Mailing address
492 ELDEN ST, HERNDON, VA 20170-4513
(703) 775-4000
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
—
—
261QH0100X
Health Service Clinic/Center
—
—
Other
Enumeration date
09/22/2022
Last updated
09/22/2022
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