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Individual

MARINA PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD

Contact information

Practice address
5855 BREMO RD STE 605, RICHMOND, VA 23226-1926
(804) 281-8303
Mailing address
5855 BREMO RD STE 605, RICHMOND, VA 23226-1926
(804) 281-8303

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1036132

Other

Enumeration date
04/29/2020
Last updated
04/29/2020
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