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Individual

LINDA MENCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CNS

Contact information

Practice address
4007 KLOMAN ST, ANNANDALE, VA 22003-2228
(571) 999-3632
Mailing address
4007 KLOMAN ST, ANNANDALE, VA 22003-2228
(571) 999-3632

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
18196
VA

Other

Enumeration date
06/27/2021
Last updated
06/27/2021
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