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Individual

MRS. URMILA MOTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,RD,LD

Contact information

Practice address
4375 FAIR LAKES CT, FAIRFAX, VA 22033-4234
(571) 432-2600
(571) 432-2788
Mailing address
4206 MARBLE LN, FAIRFAX, VA 22033-3126
(601) 842-3906

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX5221
MD

Other

Enumeration date
12/12/2008
Last updated
12/18/2025
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