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MRS. CHERYL INY HARRIS MPH, RD

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

Registrant NPI Number: 1366632630

Individual Registrant:
MRS. CHERYL INY HARRIS MPH, RD
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: --

Contact information for business:
6319 KARMICH ST  FAIRFAX STATION, VA 22039-1622 US
Tel: 571-271-8742  Fax: --

Registration Information:
NPI: 1366632630
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y133V00000XDietary & Nutritional Service Providers
Dietitian, Registered
VA913737

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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