NPI 1265096762

Ashley Hannah Degeare, NDTR

Practitioner Registered Dietetic Technician Fairfax, VA

Practice location

Address: 3903 Fair Ridge Dr STE 209, Fairfax, VA 22033-2944
Phone: (703) 865-6490
Mailing address: 42918 Redfield St, Ashburn, VA 20147-3639

Registered specialties

Registered Dietetic Technician Primary

Dietary & Nutritional Service Providers Taxonomy 136A00000X Licence 86131075 (VA)

Other Dietetic Technician, Registered providers in Virginia →

Registry record

NPI: 1265096762
Entity type: Individual
Sex (as registered): Female
NPI issued: 30 Apr 2019
Record last updated: 30 Apr 2019

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.