Individual
MS. JOANNA SULLIVAN CONROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7310 RITCHIE HWY STE 405, GLEN BURNIE, MD 21061
(410) 788-6727
(410) 788-6729
Mailing address
7310 RITCHIE HWY, GLEN BURNIE, MD 21061-3065
(410) 788-6727
(410) 788-6729
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D02222
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
800142944
—
MD
Enumeration date
01/17/2008
Last updated
12/05/2019
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