Individual
MRS. KIMBERLY ANN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
6535 N CHARLES STREET, SUITE 300, TOWSON, MD 21204
(410) 938-5252
(410) 938-5250
Mailing address
6535 N CHARLES STREET, SUITE 300, TOWSON, MD 21204
(410) 938-5252
(410) 938-5250
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
DX2494
MD
Other
Enumeration date
10/23/2006
Last updated
07/08/2007
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