Individual
MS. CHANDA TRACY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2400 LEE HWY N, PULASKI, VA 24301-2326
(540) 994-8593
Mailing address
5285 BUENA VISTA RD, PULASKI, VA 24301-7149
(540) 980-8204
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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