Individual
HEATHER A. SUDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
52 W SHIRLEY AVE, WARRENTON, VA 20186-3008
(540) 347-9298
(540) 347-0492
Mailing address
52 W SHIRLEY AVE, WARRENTON, VA 20186-3008
(540) 347-9298
(540) 347-0492
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
T62063956
VA
Other
Enumeration date
11/15/2011
Last updated
11/15/2011
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