Individual
JOANNA WATERHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, CDE, CPT
Contact information
Practice address
493 BLACKWELL RD, SUITE 202, WARRENTON, VA 20186-2639
(540) 347-4400
(540) 341-8610
Mailing address
493 BLACKWELL RD, SUITE 202, WARRENTON, VA 20186-2639
(540) 347-4400
(540) 341-8610
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
20410019
VA
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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