Individual
KELLY MAGOFFIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
110 IRVING ST NW STE 301, WASHINGTON, DC 20010-3017
(202) 877-7788
Mailing address
18360 MID OCEAN PL, LEESBURG, VA 20176-7451
(703) 629-7495
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI100000904
DC
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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