Individual
MS. ANGELA CANNAVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
3903 FAIR RIDGE DR, FAIRFAX, VA 22033-2943
(703) 865-6490
Mailing address
3531 GEORGIA AVE NW, WASHINGTON, DC 20010-1707
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NU200000233
DC
133NN1002X
Nutrition Education Nutritionist
NU200000233
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NU00000233
DEPARTMENT OF HEALTH
DC
Enumeration date
09/13/2023
Last updated
12/23/2024
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