SearchVirginia133V00000X

Stacey Pulliam, RD

NPI 1831717651 · on the registry since 2020 · sole proprietor

Practice

Address
2312 Prenoman Ln
Midlothian, VA 23112
Phone
(804) 201-6919
Organisation at this address
Wellness Vibe
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia