Individual
GWYNETH LYNNETTE BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
724 E MAIN ST, SALISBURY, MD 21804-5037
(443) 397-6647
Mailing address
724 E MAIN ST, SALISBURY, MD 21804-5037
(443) 397-6647
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4449
MD
Other
Enumeration date
06/16/2020
Last updated
06/16/2020
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