Individual
AMANDA BIANCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
413 STUART CIR UNIT 210, RICHMOND, VA 23220-3754
(804) 593-3103
Mailing address
413 STUART CIR UNIT 210, RICHMOND, VA 23220-3754
(804) 593-3103
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86030901
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C09633
GROUP PTAN
VA
Enumeration date
03/29/2016
Last updated
08/18/2016
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