Organization
MY HAPPY WEIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAN CHI THI NGUYEN MA, RD (OWNER)
(240) 601-4097
Entity
Organization
Contact information
Practice address
14743 TAMARACK PL, WOODBRIDGE, VA 22191-3135
(240) 601-4097
Mailing address
14743 TAMARACK PL, WOODBRIDGE, VA 22191-3135
(240) 601-4097
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
DI100000639
DC
305S00000X
Point of Service
Primary
—
VA
Other
Enumeration date
09/06/2016
Last updated
09/06/2016
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