Organization
MAGNIFICAT NUTRITION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GRACE T NERIA M.S., R.D., L.D. (PRESIDENT)
(703) 978-5346
Entity
Organization
Contact information
Practice address
9108 LYON PARK COURT, BURKE, VA 22015
(703) 978-5346
Mailing address
9108 LYON PARK COURT, BURKE, VA 22015
(703) 978-5346
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
D00985
MD
133V00000X
Registered Dietitian
D00985
MD
133V00000X
Registered Dietitian
Primary
DI221
DC
Other
Enumeration date
01/03/2013
Last updated
01/03/2013
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