Organization
YOUR HEALTH NUTRITION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA EULISS RD, LDN (DIETITIAN/ OWNER)
(301) 412-1307
Entity
Organization
Contact information
Practice address
4907 NIAGARA RD STE 102, COLLEGE PARK, MD 20740-1100
(240) 215-3653
(888) 388-2830
Mailing address
7109 LIMESTONE LN, MIDDLETOWN, MD 21769-7534
(301) 412-1307
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/07/2022
Last updated
11/03/2022
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