Organization
IN HOME NUTRITON
Active
Other names
Catalyst for Change
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VALERIE JEAN MCCLOSKEY R.D. (PRESIDENT)
(734) 756-7036
Entity
Organization
Contact information
Practice address
149 PINE CREEK DR, HAMPTON, VA 23669-1245
(734) 756-7036
Mailing address
149 PINE CREEK DR, HAMPTON, VA 23669-1245
(734) 756-7036
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
832566
VA
Other
Enumeration date
06/28/2011
Last updated
08/17/2014
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