Individual
ELANA BODNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
233 CHARTLEY DR, REISTERSTOWN, MD 21136-2325
(212) 979-9878
Mailing address
233 CHARTLEY DR, REISTERSTOWN, MD 21136-2325
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX5186
MD
Other
Enumeration date
03/16/2021
Last updated
08/28/2025
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