Individual
TASHA MANIGO-BIZZELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN
Contact information
Practice address
4512 WINTER MILL WAY, OWINGS MILLS, MD 21117-4840
(410) 382-8779
Mailing address
4512 WINTER MILL WAY, OWINGS MILLS, MD 21117-4840
(410) 382-8779
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX3820
MD
Other
Enumeration date
08/31/2015
Last updated
08/31/2015
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