Individual
MS. MARY JANE REWINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD REGISTERED DIETIT
Contact information
Practice address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7757
(757) 314-7792
Mailing address
576 JEFFERSON AVE, FORT EUSTIS, VA 23604-1373
(757) 314-7757
(757) 314-7792
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1753
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
H3451
—
NM
Enumeration date
04/16/2007
Last updated
06/13/2011
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