Individual
TINA KRUPCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN
Contact information
Practice address
2343 DULLES STATION BLVD APT 130, HERNDON, VA 20171-6399
(703) 349-2868
Mailing address
2343 DULLES STATION BLVD APT 130, HERNDON, VA 20171-6399
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX3787
MD
Other
Enumeration date
01/30/2017
Last updated
01/30/2017
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