Individual
AMANDA COOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDN, CNS
Contact information
Practice address
7500 HANOVER PKWY STE 105A, GREENBELT, MD 20770-2011
(301) 220-2220
Mailing address
7661 BLUEBERRY HILL LN, ELLICOTT CITY, MD 21043-7973
(410) 507-1071
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4817
MD
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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