Individual
KATIE BOLTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, EP-C
Contact information
Practice address
2100 MADIS CT, PRINCE FREDERICK, MD 20678-3581
(402) 366-8725
Mailing address
2100 MADIS CT, PRINCE FREDERICK, MD 20678-3581
(402) 366-8725
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX5041
MD
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
08/14/2022
Last updated
08/14/2022
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