NPI 1053949537

Esosa Edosomwan

Practitioner Nutritionist Fairfax, VA

Practice location

Address: 3970 Chain Bridge Rd, Fairfax, VA 22030-3316
Phone: (202) 643-5703

Registered specialties

Nutritionist Primary

Dietary & Nutritional Service Providers Taxonomy 133N00000X Licence DX4886 (MD)

Other Nutritionist providers in Virginia →

Registry record

NPI: 1053949537
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Mar 2020
Record last updated: 2 Apr 2020

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.