Individual
MOLLIE NELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, LDN
Contact information
Practice address
9501 OLD ANNAPOLIS RD STE 205, ELLICOTT CITY, MD 21042-6336
(410) 648-2555
Mailing address
10433 WATERFOWL TER, COLUMBIA, MD 21044-2466
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4856
MD
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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