Individual
MARILAINE DEGUIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
43506 HYLAND HILLS ST, CHANTILLY, VA 20152-2555
(571) 758-4757
(571) 695-3293
Mailing address
42020 VILLAGE CENTER PLZ STE 120-164, STONE RIDGE, VA 20105-3034
(571) 758-4757
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
CNS19085
VA
Other
Enumeration date
02/28/2025
Last updated
02/28/2025
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