Provider Demographics
NPI:1043998834
Name:BALMEDIANO, JOSH PATRICIA ALBA (RD)
Entity type:Individual
Prefix:
First Name:JOSH PATRICIA
Middle Name:ALBA
Last Name:BALMEDIANO
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2105 N GLEBE RD UNIT 2311
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22207-2236
Mailing Address - Country:US
Mailing Address - Phone:843-597-0904
Mailing Address - Fax:
Practice Address - Street 1:4820 31ST ST S STE B
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22206-1665
Practice Address - Country:US
Practice Address - Phone:703-865-6490
Practice Address - Fax:703-865-6542
Is Sole Proprietor?:No
Enumeration Date:2023-07-11
Last Update Date:2023-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133VN1201XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, Obesity and Weight Management