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Organization

DIETITIAN ALLIANCE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OFELIA B MUTIA RD (OWNER/PRESIDENT)
(770) 568-4747
Entity
Organization

Contact information

Practice address
10000 FALLS ROAD, SUITE 100, POTOMAC, MD 20854
(770) 568-4747
Mailing address
1400 MARKET PLACE BLVD STE 216, CUMMING, GA 30041-7925
(770) 568-4747

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
03/03/2020
Last updated
01/19/2024
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