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Individual

GINA CUSHENBERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS,CNS

Contact information

Practice address
6817 GEORGIA AVE NW, 309, WASHINGTON, DC 20012-2566
(347) 678-1072
Mailing address
6817 GEORGIA AVE NW, 309, WASHINGTON, DC 20012-2566

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
17182
MD

Other

Enumeration date
02/15/2017
Last updated
02/15/2017
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