| Stellar Health Nutrition, Llc | |
|
4701 Sangamore Rd Ste 100n1162 Bethesda MD 20816-2508 | |
| (301) 304-7858 | |
| Not Available |
| Full Name | Stellar Health Nutrition, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4701 Sangamore Rd Ste 100n1162, Bethesda, Maryland |
| Authorized Official Name and Position | Penelope Ann Taylor (DIETITIAN) |
| Authorized Official Contact | 2025093860 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stellar Health Nutrition, Llc 4701 Sangamore Rd Ste 100n Pmb 1162 Bethesda MD 20816-1511 Ph: (301) 304-7858 | Stellar Health Nutrition, Llc 4701 Sangamore Rd Ste 100n1162 Bethesda MD 20816-2508 Ph: (301) 304-7858 |
| NPI Number | 1851920714 |
|---|---|
| Provider Enumeration Date | 04/03/2020 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851920714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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