Lifelong Good Health
NPI #1659788909 in Woodbridge, Virginia
Provider Information
- NPI Number
- 1659788909
- Entity Type
- Organization
- Organization Name
- Lifelong Good Health
- Primary Specialty
- Clinic/Center - Health Service
- Enumeration Date
- Jul 18, 2014
- Last Updated
- Jul 18, 2014
Practice Location
- Address
- 5721 RHODE ISLAND DR
- City
- Woodbridge
- State
- Virginia
- ZIP Code
- 22193
- Phone
- (703) 389-6612
Authorized Official
- Name
- MRS. LUCIA ISAC MITCHELL, RD
- Title
- REGISTERED DIETITIAN
- Phone
- (703) 389-6612
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Health Service — Health Service |
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