Individual
NICOLE DOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSR
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(757) 953-9390
Mailing address
742 WASHINGTON PARK APT C2, NORFOLK, VA 23517-1933
(757) 636-7728
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
929960
VA
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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