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Contact Information

MOLLY E LISS, RDN
8644 SUDLEY RD
315
MANASSAS, VA20110
 Phone: 703-369-8450
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
Indicates primary specialty

NPI Profile & details for MOLLY E LISS · (Female)

NPI Number 1114557246
Status Active
Credentials RDN
Entity Individual
Enumeration date 01/16/2020
Last updated 09/29/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 86130097
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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