Organization
NICOLE MASON NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLE MASON MS, RD, LDN (REGISTERED DIETITIAN)
(443) 267-4270
Entity
Organization
Contact information
Practice address
7610A COACHLIGHT LN, ELLICOTT CITY, MD 21043-8029
(443) 267-4270
Mailing address
3505 ELLICOTT MILLS DR STE A1, ELLICOTT CITY, MD 21043-4599
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
02/20/2024
Last updated
02/20/2024
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