Individual
MARYBETH MISSENDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPH
Contact information
Practice address
16833 HOLLY WAY, ACCOKEEK, MD 20607-9714
(412) 334-2501
Mailing address
7045 BERRY RD UNIT A5, BOX 361, ACCOKEEK, MD 20607-3440
(412) 334-2501
Taxonomy
Speciality
Code
Description
License number
State
1835N1003X
Nutrition Support Pharmacist
PH100000044
DC
1835N1003X
Nutrition Support Pharmacist
Primary
RP036731L
PA
Other
Enumeration date
03/26/2012
Last updated
03/26/2012
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