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NPI Code Detail

MEDICARE: MS. JAIME AVILA RD

MEDICARE:  MS. JAIME  AVILA  RD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered DietitianDI100000546DC
2133V00000XRegistered DietitianDX3346MD

General Provider Information

NPI Number : 1457699837
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JAIME AVILA RD
Provider Business Mailing Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9300 DEWITT LOOP
Second Line :
City : FORT BELVOIR
State : VA
Zip : 22060-5285
Country : US
Telephone Number : 571-231-3369
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/20/2013
Last Update Date : 04/23/2026

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Directions to “ MS. JAIME AVILA RD” Practice Location

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