Individual
THERESA ROSENTHAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
33 SUGARCAMP LN, STUARTS DRAFT, VA 24477-2916
(209) 814-3466
Mailing address
33 SUGARCAMP LN, STUARTS DRAFT, VA 24477-2916
(209) 814-3466
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
06/30/2015
Last updated
06/30/2015
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