Individual
HEALTHER M. MOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11730 SUDLEY MANOR DR, MANASSAS, VA 20109-2843
(703) 257-3000
(301) 816-7170
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE ATTN: SANJAY MATHUR DATA MGMT DEPT 3W, ROCKVILLE, MD 20852-4908
(301) 816-7446
(301) 816-7170
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
06/08/2007
Last updated
07/08/2007
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