Organization
BE HEALTHY NUTRITION CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA MARY ROTH RD (DIETITIAN/OWNER)
(703) 851-8932
Entity
Organization
Contact information
Practice address
21351 GENTRY DR, SUITE 125, STERLING, VA 20166-8510
(703) 851-8932
Mailing address
21386 FERNBROOK CT, BROADLANDS, VA 20148-4032
(703) 851-8932
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/15/2013
Last updated
04/30/2013
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