Provider Demographics
NPI:1407120520
Name:AURICH, VICTORIA (RD, LDN)
Entity Type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:AURICH
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16917 OLDE MILL RUN
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20855-1525
Mailing Address - Country:US
Mailing Address - Phone:301-990-8642
Mailing Address - Fax:301-990-8642
Practice Address - Street 1:16917 OLDE MILL RUN
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20855-1525
Practice Address - Country:US
Practice Address - Phone:301-990-8642
Practice Address - Fax:301-990-8642
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-07
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX3118133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered