MRS. Laura Mandeville, FNTP

NPI #1144934977 in Burke, Virginia

Provider Information

NPI Number: 1144934977
Entity Type: Individual
Name: MRS. Laura Mandeville, FNTP
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Nutritionist
Credential: FNTP
Enumeration Date: Jan 6, 2023
Last Updated: Jan 6, 2023

Practice Location

Address: 6012 LIBERTY BELL CT
City: Burke
State: Virginia
ZIP Code: 22015-3345
Phone: (703) 203-5074

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nutritionist	133N00000X	Primary

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