Individual
COLT MINNECI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8 NUTMEG KNOLL CT APT B, COCKEYSVILLE, MD 21030-4335
(847) 275-7800
Mailing address
8B NUTMEG KNOLL CT, COCKYSVILLE, MD 21030
(847) 275-7800
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
10/24/2012
Last updated
10/24/2012
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