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MRS. CHERYL INY HARRIS MPH, RD
>> Dietitian, Registered >> Dietary & Nutritional Service ProvidersRegistrant NPI Number: 1366632630
Individual Registrant:MRS. CHERYL INY HARRIS MPH, RD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
9675 MAIN ST STE A FAIRFAX, VA 22031-3762 US
Tel: 571-271-8742 Fax: --
Tel: 571-271-8742 Fax: --
Contact information for business:
6319 KARMICH ST FAIRFAX STATION, VA 22039-1622 US
Tel: 571-271-8742 Fax: --
Tel: 571-271-8742 Fax: --
Registration Information:
NPI: 1366632630
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered | VA | 913737 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
