Individual
THERESA O'DONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7409 CHATHAM ST, SPRINGFIELD, VA 22151-3118
(703) 941-2710
(703) 941-8822
Mailing address
7409 CHATHAM ST, SPRINGFIELD, VA 22151-3118
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/18/2007
Last updated
12/18/2007
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