Organization
ENLIGHTEN NUTRITION COUNSELING AND CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISON SERAMUR HALL MS RDN LDN (CO-OWNER)
(571) 291-0693
Entity
Organization
Contact information
Practice address
2 CARDINAL PARK DR SE STE 104, LEESBURG, VA 20175-4437
(571) 310-6029
Mailing address
11707 SUMMERCHASE CIR APT E, RESTON, VA 20194-1129
(571) 291-0693
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
86109263
—
VA
Enumeration date
01/21/2022
Last updated
04/12/2022
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