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NPI 1124420575 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1124420575
Enumeration Date 09/17/2014
Last Updated 09/17/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name WINTANA WINTANA
Position OWNER
Phone (410) 952-2613
Fax
Practice Location
15121 CENTERGATE DR
SILVER SPRING MD, 20905-5714, US
Phone (410) 952-2613
Fax
Business Location
15121 CENTERGATE DR
SILVER SPRING MD, 20905-5714, US
Phone (410) 952-2613
Fax
Toxanomy
Taxonomy Code 133V00000X
License State Maryland
License Number 999417
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According to our database, Reset Llc NPI is 1124420575, taxonomy code is 133V00000X and license number is 999417, license state is located at Maryland. Reset Llc physically located at 15121 Centergate Dr, Silver Spring MD, 20905-5714. NPI Number 1033115704 has the healthcare provider type.

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1124420575 NPI number is provided on an as is basis without warranty of any kind. 1124420575 is maintained by the National Plan & Provider Enumeration System. The contents of Reset Llc are for informational purposes only.