A Balanced Life RX LLC
Organization Active NPI Registered Dietitian · Manassas, VA
NPI 1417410069 · NPPES record last updated Jun 11, 2019
Key facts
- NPI
- 1417410069
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Registered Dietitian 133V00000X
- Legal business name
- A BALANCED LIFE RX LLC
- Practice address
- 8425 Girvan CT
Manassas, VA 20109-4280 - Phone
- (703) 217-9284
- NPI assigned
- Apr 10, 2019
- Organization subpart
- No
Authorized official
- Name
- Jennifer Littau, RDN
- Title
- Registered Dietitian Nutritionist
- Phone
- (703) 217-9284
Practitioners 1
-
Jennifer Littau, RDN
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian |
133V00000X | Yes |
Addresses
Primary practice location
8425 Girvan CT
Manassas, VA 20109-4280
Mailing address
8425 Girvan CT
Manassas, VA 20109-4280
Phone (703) 217-9284
Other names
- A Balanced Life Rx
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.