Theresa C Logan, RDN

NPI #1356819445 in Mc Lean, Virginia

Provider Information

NPI Number: 1356819445
Entity Type: Individual
Name: Theresa C Logan, RDN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dietitian, Registered
Credential: RDN
Enumeration Date: Nov 6, 2018
Last Updated: Nov 6, 2018

Practice Location

Address: 7621 TREMAYNE PL APT 213
City: Mc Lean
State: Virginia
ZIP Code: 22102-7609
Phone: (704) 651-6781

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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