Individual
ANGELA ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
5601 LOCH RAVEN BLVD, BALTIMORE, MD 21239-2945
(443) 444-5477
Mailing address
5601 LOCH RAVEN BLVD FL 2, CCP-OUTPATIENT, BALTIMORE, MD 21239-2945
(443) 444-5477
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
—
—
133NN1002X
Nutrition Education Nutritionist
—
—
133V00000X
Registered Dietitian
Primary
DX5021
MD
171400000X
Health & Wellness Coach
—
—
Other
Enumeration date
06/29/2021
Last updated
07/21/2021
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