Provider Demographics
NPI:1578800900
Name:SUGAR, ALANA (CN)
Entity Type:Individual
Prefix:
First Name:ALANA
Middle Name:
Last Name:SUGAR
Suffix:
Gender:F
Credentials:CN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8131 CARRLEIGH PKWY
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22152-1206
Mailing Address - Country:US
Mailing Address - Phone:703-451-2625
Mailing Address - Fax:
Practice Address - Street 1:8131 CARRLEIGH PKWY
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:VA
Practice Address - Zip Code:22152-1206
Practice Address - Country:US
Practice Address - Phone:703-451-2625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-04
Last Update Date:2013-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist