Dietary & Nutritional Service Providers (343) PERSON CLASS (8932.1)
Name
Value
PROVIDER TYPE
Dietary & Nutritional Service Providers
CLASSIFICATION
Dietitian, Registered
AREA OF SPECIALIZATION
Nutrition, Renal
STATUS
Active
VA CODE
V040403
X12 CODE
133VN1005X
SPECIALTY CODE
71
INDIVIDUAL/NON
INDIVIDUAL
MASTER ENTRY FOR VUID
YES
VUID
5252546
EFFECTIVE DATE/TIME
2018-04-02 15:35:41
STATUS: ACTIVE
