Individual
VERONIQUE CHAMPAGNE PETTITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CSR
Contact information
Practice address
304 S MONTEREY DR, CHESAPEAKE, VA 23320-3302
(757) 609-5877
Mailing address
304 S MONTEREY DR, CHESAPEAKE, VA 23320-3302
(757) 609-5877
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
86057834
VA
133VN1005X
Renal Nutrition Registered Dietitian
Primary
86057834
VA
Other
Enumeration date
11/13/2019
Last updated
12/04/2023
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