Pravina Kandala MNT

NPI 1225155062 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1225155062
Gender Female
Enumeration Date 03/26/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
601 COLLIERS WAY
WEIRTON WV, 26062-5014, US
Phone (304) 797-6000
Fax
Business Location
601 COLLIERS WAY
WEIRTON WV, 26062-5014, US
Phone (304) 797-6000
Fax
Toxanomy
Taxonomy Code 133V00000X
License State West Virginia
License Number 511
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According to our database, Pravina Kandala MNT NPI is 1225155062, taxonomy code is 133V00000X and license number is 511, license state is located at West Virginia. Pravina Kandala MNT physically located at 601 Colliers Way, Weirton WV, 26062-5014. NPI Number Pravina Kandala MNT has the Individual type.

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1225155062 NPI number is provided on an as is basis without warranty of any kind. 1225155062 is maintained by the National Plan & Provider Enumeration System. The contents of Pravina Kandala MNT are for informational purposes only.