Organization
A BALANCED LIFE RX LLC
Active
Other names
A Balanced Life Rx
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LITTAU RDN (REGISTERED DIETITIAN NUTRITIONIST)
(703) 217-9284
Entity
Organization
Contact information
Practice address
8425 GIRVAN CT, MANASSAS, VA 20109-4280
(703) 217-9284
Mailing address
8425 GIRVAN CT, MANASSAS, VA 20109-4280
(703) 217-9284
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/10/2019
Last updated
06/11/2019
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