Individual
MS. REBECCA SUE ROSELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
8500 EXECUTIVE PARK AVENUE, #300, FAIRFAX, VA 22031-4647
(703) 698-7117
(703) 698-5729
Mailing address
8500 EXECUTIVE PARK AVENUE, #300, FAIRFAX, VA 22031-4647
(703) 698-7117
(703) 698-5729
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
10022
VA
Other
Enumeration date
03/15/2007
Last updated
07/21/2022
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