IndividualActive
Esosa Edosomwan
NPI 1053949537 · Nutritionist · Fairfax, VA
Provider details
- NPI number
- 1053949537
- Entity type
- Individual
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- DX4886 (MD)
Mailing address
3970 Chain Bridge Rd
Fairfax, VA 22030-3316
Registry dates
- Enumerated
- 2020-03-30
- Last updated
- 2020-04-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.