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Individual

MS. PENNY SABRINA BROOKS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, RD, LD/N

Contact information

Practice address
7500 HANOVER PKWY STE 105A, GREENBELT, MD 20770-2011
(301) 220-2220
Mailing address
8150 LAKECREST DR APT 803, GREENBELT, MD 20770-3332
(305) 989-1745

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DX4497
MD
133NN1002X
Nutrition Education Nutritionist
DX4497
MD
133V00000X
Registered Dietitian
Primary
86020556
FL

Other

Enumeration date
05/08/2023
Last updated
05/08/2023
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