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Organization

YOUR DIABETES COACH, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KAVITHA FELIX-JOHNSON RD, CDE (OWNER)
(571) 244-9772
Entity
Organization

Contact information

Practice address
13800 COPPERMINE RD FL 1, HERNDON, VA 20171-6163
(571) 244-9772
Mailing address
42430 BENFOLD SQ, BRAMBLETON, VA 20148-7606
(571) 244-9772

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
09/11/2018
Last updated
09/11/2018
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