Provider Demographics
NPI:1700415825
Name:EAT2WIN NUTRITION LLC
Entity Type:Organization
Organization Name:EAT2WIN NUTRITION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CARLA
Authorized Official - Middle Name:CARDONA
Authorized Official - Last Name:SIDHU
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:703-608-0280
Mailing Address - Street 1:404 N VAN BUREN ST
Mailing Address - Street 2:
Mailing Address - City:FALLS CHURCH
Mailing Address - State:VA
Mailing Address - Zip Code:22046-3657
Mailing Address - Country:US
Mailing Address - Phone:703-608-0280
Mailing Address - Fax:703-608-0280
Practice Address - Street 1:404 N VAN BUREN ST
Practice Address - Street 2:
Practice Address - City:FALLS CHURCH
Practice Address - State:VA
Practice Address - Zip Code:22046-3657
Practice Address - Country:US
Practice Address - Phone:703-608-0280
Practice Address - Fax:703-608-0280
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty