Individual
CARMEN KRESHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
12330 PINECREST RD STE 125, RESTON, VA 20191-1655
(312) 952-6012
(844) 246-8462
Mailing address
12704 FANTASIA DR, HERNDON, VA 20170-2941
(312) 952-6012
(844) 246-8462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1932743192
NPI
VA
Enumeration date
10/19/2012
Last updated
06/20/2023
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