OrganizationActive
Holistic Longevity Center
NPI 1649118811 · Nutritionist · Woodbridge, VA
Holistic Longevity Center is a Nutritionist organization in Woodbridge, VA (NPI 1649118811).
Provider details
- NPI number
- 1649118811
- Entity type
- Organization
- Primary specialty
- NutritionistDietary & Nutritional Service Providers
- Organization subpart
- No
- Authorized official
- Jamie Bullard, Owner/Nutritionist(703) 987-7444
Practice location
14017 Telegraph Rd
Woodbridge, VA 22192-4611
Phone: (703) 987-7444
Street-level locationGet directions
Mailing address
6111 Oaklawn Ln
Woodbridge, VA 22193-3969
Registry dates
- Enumerated
- 2026-03-23
- Last updated
- 2026-03-23
- Certified
- 2026-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.