Organization
ELLIOTT EVANS NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAN ELLIOTT EVANS PHD, RD, FAND (CLINICAL DIETITIAN; CEO)
(804) 339-3200
Entity
Organization
Contact information
Practice address
7229 FOREST AVE, SUITE 107, RICHMOND, VA 23226-3765
(804) 339-3200
Mailing address
7229 FOREST AVE, SUITE 107, RICHMOND, VA 23226
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
925537
VA
Other
Enumeration date
11/04/2015
Last updated
11/04/2015
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