Individual
KATHLEEN CORCORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
209 MADISON ST STE 3B&3C, ALEXANDRIA, VA 22314-1764
(703) 988-3475
Mailing address
401 HOLLAND LN APT 1304, ALEXANDRIA, VA 22314-3444
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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