Individual
MARY LYNN FARIVARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
2100 PENNSYLVANIA AVE NW, WASHINGTON, DC 20037-3202
(202) 872-7055
(202) 872-7132
Mailing address
2101 EAST JEFFERSON ST, KAISER PERMANENTE 3 WEST ATTN: SANJAY MATHUR-DATA MGMT, ROCVILLE, MD 20852-4908
(301) 816-7446
(301) 816-7170
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1100000130
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
725254
RD ID NUMBER
—
Enumeration date
01/31/2007
Last updated
06/01/2021
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