Individual
IELYZAVETA SHKODA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.N.
Contact information
Practice address
400 LANE DR, CHARLOTTESVILLE, VA 22908-0673
(434) 924-3515
Mailing address
400 LANE DR, CHARLOTTESVILLE, VA 22908-0673
(434) 924-3515
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/20/2016
Last updated
01/20/2016
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