Lifelong Good Health LLC

NPI #1588056139 in Woodbridge, Virginia

Provider Information

NPI Number
1588056139
Entity Type
Organization
Organization Name
Lifelong Good Health LLC
Primary Specialty
Clinic/Center
Enumeration Date
Feb 19, 2015
Last Updated
Feb 19, 2015

Practice Location

Address
5721 RHODE ISALND DRIVE
ZIP Code
22193
Phone
(703) 389-6612

Authorized Official

Name
MRS. LUCIA ISAC MITCHELL, RDN
Title
REGISTERED DIETITIAN NUTRITIONIST
Phone
(703) 389-6612

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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