NPI 1639515331

Ideal Body Wellness

Organisation Nutrition Education Nutritionist Vienna, VA

Practice location

Address: 8206 Leesburg Pike STE 302, Vienna, VA 22182-2614
Phone: (703) 856-6803
Mailing address: 10348 Brittenford Dr, Vienna, VA 22182-1860

Authorised official

Name: Michael a Mahoney
Title: Ceo
Phone: (703) 856-6803

Registered specialties

Nutrition Education Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133NN1002X

Other Nutritionist providers in Virginia →

Registry record

NPI: 1639515331
Entity type: Organization
NPI issued: 21 May 2013
Record last updated: 21 May 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.