Individual
CAROLE JUNE HAVRILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CSO
Contact information
Practice address
18 SPRING OAKS LANE, RUCKERSVILLE, VA 22968
(434) 465-0899
Mailing address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0817
(434) 243-9627
(434) 243-2673
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
00722000
—
Other
Enumeration date
04/05/2018
Last updated
04/05/2018
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