Individual
MRS. KAREN PEREZ VIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 204, FAIRFAX, VA 22033-1764
(703) 391-4963
(703) 391-4217
Mailing address
4106 CHESTNUT ST, FAIRFAX, VA 22030-5205
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
839548
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
839548
COMMISSION OF DIETETIC REGISTRATION
VA
Enumeration date
09/22/2020
Last updated
09/22/2020
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