Organization
3-N-1 NUTRITION SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSEMARIE RANDOLPH MS, RDN (OWNER, REGISTERED DIETITIAN)
(405) 812-1064
Entity
Organization
Contact information
Practice address
15013 ADELMAN RUN CT, WOODBRIDGE, VA 22193-3171
(405) 812-1064
Mailing address
15013 ADELMAN RUN CT, WOODBRIDGE, VA 22193-3171
(405) 812-1064
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/03/2014
Last updated
04/03/2014
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