Individual
BEVERLY FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
20930 DUPONT BLVD UNIT 202, GEORGETOWN, DE 19947-1724
(302) 856-3737
Mailing address
20930 DUPONT BLVD UNIT 101, GEORGETOWN, DE 19947-1723
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
Primary
DN-0010985
DE
Other
Enumeration date
09/12/2022
Last updated
09/12/2022
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