Individual
BETHANY BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
817 VILLAGE RD, CHARLOTTESVILLE, VA 22903-4030
(804) 852-0851
Mailing address
817 VILLAGE RD, CHARLOTTESVILLE, VA 22903-4030
(804) 852-0851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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