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MAUREEN N. HARRIS RD, CDE
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1609106400
Individual Registrant: MAUREEN N. HARRIS RD, CDE
Gender: F
Not Sole Proprietor
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
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
Tel: 703-698-2510 Fax: 703-698-2506
Registration Information:
NPI: 1609106400
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
