Individual
SARA QUALLS BLAHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN, RD
Contact information
Practice address
638 INDEPENDENCE PKWY, SUITE 150, CHESAPEAKE, VA 23320-5216
(757) 499-2018
(757) 499-2017
Mailing address
PO BOX 6522, CHESAPEAKE, VA 23323-0522
(757) 499-2018
(757) 499-2017
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
851880
NC
Other
Enumeration date
08/09/2007
Last updated
09/08/2010
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