Individual
CAITLIN SELF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN
Contact information
Practice address
907 S LAKEWOOD AVE, BALTIMORE, MD 21224-3815
(443) 869-6584
Mailing address
101 S ELLWOOD AVE APT 206, BALTIMORE, MD 21224-2273
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4657
MD
Other
Enumeration date
04/25/2019
Last updated
04/25/2019
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