MRS. Theresa Mary Roth, RD

NPI #1578807228 in Sterling, Virginia

Provider Information

NPI Number
1578807228
Entity Type
Individual
Name
MRS. Theresa Mary Roth, RD
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dietitian, Registered
Credential
RD
Enumeration Date
Nov 19, 2012
Last Updated
Apr 8, 2013

Practice Location

Address
21351 GENTRY DR
Address 2
SUITE 125
ZIP Code
20166-8510
Phone
(703) 851-8932

Specialties & Taxonomy Codes

Specialty
Dietitian, Registered

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