Individual
MRS. LUCIA ISAC MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
700 FETTLER PARK, DUMFRIES HEALTH CENTER, DUMFRIES, VA 22025
(703) 441-7500
(202) 269-7484
Mailing address
3700 FETTLER PARK, DUMFRIES HEALTH CENTER, DUMFRIES, VA 22025
(703) 441-7500
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1040898
DC
133V00000X
Registered Dietitian
D1100000386
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1040898
REGISTER DIETITIAN (RD)
DC
01
—
D1100000386
DIETITIAN LICENSE
DC
Enumeration date
11/19/2010
Last updated
09/22/2015
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