Organization
A BOWL FULL OF NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER EILEEN SMITH MS, RDN, LD (OWNER)
(619) 254-0137
Entity
Organization
Contact information
Practice address
7439 CHUMMLEY CT, FALLS CHURCH, VA 22043-2938
(619) 254-0137
Mailing address
7439 CHUMMLEY CT, FALLS CHURCH, VA 22043-2938
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/18/2020
Last updated
04/18/2020
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