Individual
SUSAN FOGARTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS RD
Contact information
Practice address
6340 CENTER DR, NORFOLK, VA 23502-4104
(800) 863-7224
Mailing address
6340 CENTER DR, NORFOLK, VA 23502-4104
(800) 863-7224
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
11/17/2021
Last updated
11/17/2021
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