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Individual

COURTNEY D PUIDK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1212 4TH ST SE, WASHINGTON, DC 20003-3482
(202) 554-0444
Mailing address
1212 4TH ST SE, WASHINGTON, DC 20003-3482
(202) 554-0444

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI100000776
DC

Other

Enumeration date
10/29/2015
Last updated
10/29/2015
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