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MAUREEN N. HARRIS RD, CDE

>> Dietitian, Registered >> Dietary & Nutritional Service Providers

Registrant NPI Number: 1609106400

Individual Registrant:
 MAUREEN N. HARRIS RD, CDE
Gender: F
Not Sole Proprietor

Location and contact information for practice:
2700 PROSPERITY AVE SUITE 100 FAIRFAX, VA 22031-4339 US
Tel: 703-698-2510  Fax: 703-698-2506

Contact information for business:
2700 PROSPERITY AVE SUITE 100 FAIRFAX, VA 22031-4339 US
Tel: 703-698-2510  Fax: 703-698-2506

Registration Information:
NPI: 1609106400
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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