Individual
GRISHMA SHAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
42472 RESERVOIR RIDGE PL, ASHBURN, VA 20148-4185
(631) 974-5699
Mailing address
42472 RESERVOIR RIDGE PL, ASHBURN, VA 20148-4185
(631) 974-5699
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/16/2021
Last updated
08/16/2021
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