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Organization
RDIABETES EMPOWERMNT LLC
Active
Organization
RDIABETES EMPOWERMNT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JO ELLEN CONDON RD, LD, CDE (DIETITIAN/OWNER)
(410) 487-2779
Entity
Organization
Contact information
Practice address
192A S SOUTHWOOD AVE, ANNAPOLIS, MD 21401-4026
(410) 487-2779
(410) 280-2278
Mailing address
192A S SOUTHWOOD AVE, ANNAPOLIS, MD 21401-4026
(410) 487-2779
(410) 280-2278
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX2531
MD
Other
Enumeration date
04/02/2012
Last updated
04/02/2012
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