Provider Demographics
NPI:1679703383
Name:DARROW-MENEGAZ, VIRGINIA S (MS, RD, LN)
Entity Type:Individual
Prefix:MS
First Name:VIRGINIA
Middle Name:S
Last Name:DARROW-MENEGAZ
Suffix:
Gender:F
Credentials:MS, RD, LN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13677 SAMHILL DRIVE
Mailing Address - Street 2:NUTRITION FOR WELLNESS
Mailing Address - City:MT. AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-3918
Mailing Address - Country:US
Mailing Address - Phone:301-829-6366
Mailing Address - Fax:301-829-3666
Practice Address - Street 1:13677 SAMHILL DRIVE
Practice Address - Street 2:
Practice Address - City:MT. AIRY
Practice Address - State:MD
Practice Address - Zip Code:21771-3918
Practice Address - Country:US
Practice Address - Phone:301-829-6366
Practice Address - Fax:301-829-3666
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-16
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDN00256133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered