Individual
CHERYL ISSA
Active
Sole proprietor
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 GEORGIA AVE NW, WASHINGTON, DC 20307-0003
(202) 782-9510
Mailing address
15140 DEER VALLEY TER, SILVER SPRING, MD 20906-6223
(301) 685-3538
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DX2549
MD
Other
Enumeration date
04/10/2006
Last updated
07/08/2007
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