| Provider / Organization | NPI | Date Certified |
|---|---|---|
| RITA ANN EUSANIO | 1447866926 | 2020-09-19 |
Rita Ann Eusanio is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1447866926. Registration indicates Rita Ann Eusanio is a provider of services with a specialization in Dietary & Nutritional Service Providers, Dietitian, Registered (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers) (Dietary & Nutritional Service Providers, Dietitian, Registered) (Dietitian, Registered, ) (All Other Specialties & Provider Types, ) (Dietitian, Registered, Dietary & Nutritional Service Providers)
| Entity Type | Individual |
| Provider Name | Rita Ann Eusanio RD |
| Practice Office Address | 1036 SAINT NICHOLAS DR UNIT 101 WALDORF, MD US |
| Practice Office Telephone | 2402617170 |
| Mailing Address | 1036 SAINT NICHOLAS DR UNIT 101 WALDORF, MD 206034758 US |
| Business Telephone | 2402617170 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 5680 King Centre Dr Ste 600 | Alexandria, VA 223155755 | 7036085808 |
| Code | Practice | License No State |
|---|---|---|
| 133V00000X | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | |
| 133V00000X PRIMARY | Dietary & Nutritional Service Providers Dietitian, Registered Dietitian, Registered All Other Specialties & Provider Types Dietitian, Registered Dietary & Nutritional Service Providers | DX4800
MD |