Pediatric Nutrition Support
NPI #1902220692 in Lovettsville, Virginia
Provider Information
- NPI Number
- 1902220692
- Entity Type
- Organization
- Organization Name
- Pediatric Nutrition Support
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Feb 14, 2014
- Last Updated
- Feb 14, 2014
Practice Location
- Address
- 38731 RICKARD RD
- City
- Lovettsville
- State
- Virginia
- ZIP Code
- 20180-3115
- Phone
- (703) 727-6100
Authorized Official
- Name
- SHEREE A HUGHES, RD, LD
- Title
- PEDIATRIC DIETITIAN
- Phone
- (703) 727-6100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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