Organization
PAMOJA ROOTED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARDONEE DONALD CNS, LDN (CERTIFIED NUTRITION SPECIALIST)
(630) 518-0909
Entity
Organization
Contact information
Practice address
7722 CAPRON CT, LORTON, VA 22079-4346
(630) 518-0909
Mailing address
7722 CAPRON CT, LORTON, VA 22079-4346
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
08/15/2024
Last updated
08/15/2024
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