Your Diabetes Coach, LLC

NPI #1780167247 in Herndon, Virginia

Provider Information

NPI Number: 1780167247
Entity Type: Organization
Organization Name: Your Diabetes Coach, LLC
Primary Specialty: Dietitian, Registered
Enumeration Date: Sep 11, 2018
Last Updated: Sep 11, 2018

Practice Location

Address: 13800 COPPERMINE RD FL 1
City: Herndon
State: Virginia
ZIP Code: 20171-6163
Phone: (571) 244-9772

Authorized Official

Name: MRS. KAVITHA FELIX-JOHNSON, RD, CDE
Title: OWNER
Phone: (571) 244-9772

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dietitian, Registered	133V00000X	Primary

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