Individual
STEPHANIE MULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, CSSD
Contact information
Practice address
44983 KNOLL SQ, ENTERPRISE HALL, ROOM B25, ASHBURN, VA 20147-2692
(571) 553-0539
Mailing address
44983 KNOLL SQ, ENTERPRISE HALL, ROOM B25, ASHBURN, VA 20147-2692
(571) 553-0539
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
875320
VA
Other
Enumeration date
07/05/2006
Last updated
07/27/2016
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