Individual
JULIA YUSKAVAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
3580 JOSEPH SIEWICK DR STE 204, FAIRFAX, VA 22033-1764
(703) 391-3781
Mailing address
3580 JOSEPH SIEWICK DR STE 204, FAIRFAX, VA 22033-1764
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
1443
CT
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00958364
REGISTRATION NUMBER
—
Enumeration date
10/13/2016
Last updated
11/11/2022
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