Individual
MRS. KATHY ANN HILDEBRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CIHC
Contact information
Practice address
7336 SHERATON DR, MANASSAS, VA 20112-3679
(703) 725-6939
(703) 791-2204
Mailing address
7336 SHERATON DR, MANASSAS, VA 20112-3679
(703) 725-6939
(703) 791-2204
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
N/A
—
133NN1002X
Nutrition Education Nutritionist
N/A
—
174H00000X
Health Educator
Primary
N/A
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
58093011
AADP
VA
Enumeration date
12/14/2010
Last updated
12/14/2010
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