Individual
CARLY ELIZABETH BRAGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
5999 STEVENSON AVE STE 405, ALEXANDRIA, VA 22304-3302
(703) 552-2722
(703) 564-8567
Mailing address
PO BOX 1833, ASHBURN, VA 20146-1833
(703) 552-2722
(703) 564-8567
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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