Mandeville, Laura

Mandeville, Laura is an individual health care provider with primary practice located at 6012 Liberty Bell Ct , Burke VA 22015-3345. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutritionist, which is considered as her primary health care specialty. Mandeville, Laura can be contacted via phone (703) 203-5074.

Contact Information

Primary practice address
6012 Liberty Bell Ct Burke VA 22015-3345
Phone: (703) 203-5074
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Nutritionist 133N00000X

Profile Details

NPI number 1144934977
LBN Legal business name Mandeville, Laura
Credentials FNTP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2023
Last updated Jan 6th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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