Individual
BRANDY L STAYMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
1165 IMPERIAL DR STE 300, HAGERSTOWN, MD 21740-6556
(301) 665-9098
(301) 665-9096
Mailing address
8110 MAPLE LAWN BLVD STE 235, FULTON, MD 20759-2694
(301) 340-8339
(301) 340-9027
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3004
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DX3004
STATE BOARD OF DIETETIC PRACTICE
MD
Enumeration date
04/25/2013
Last updated
05/28/2021
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