Charlien Anne Staltare

NPI #1083212757 in Sterling, Virginia

Provider Information

NPI Number: 1083212757
Entity Type: Individual
Name: Charlien Anne Staltare
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nutritionist
Enumeration Date: Oct 14, 2020
Last Updated: Oct 14, 2020

Practice Location

Address: 46762 GRAHAM COVE SQ
City: Sterling
State: Virginia
ZIP Code: 20165-7535
Phone: (571) 217-5685

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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