| |
9244 E Hampton Dr Ste 204, Capitol Heights, MD 20743-3830 | |
(240) 473-2955 | |
Not Available |
Full Name | |
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Type | Facility |
Speciality | Dietitian, Registered |
Location | 9244 E Hampton Dr Ste 204, Capitol Heights, Maryland |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861086985 | NPI | - | NPPES |
DI100001161 | Other | DC | DC DIETETICS LICENSE NUMBER |
1086540 | Other | CDR REGISTRATION NUMBER | |
DX3953 | Other | MD | MARYLAND DIETETICS LICENSE NUMBER |
Mailing Address | Practice Location Address |
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2601 Park Center Dr Apt C703, Alexandria, VA 22302-1477 Ph: (240) 751-0691 | 9244 E Hampton Dr Ste 204, Capitol Heights, MD 20743-3830 Ph: (240) 473-2955 |