Individual
STACI H WALDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSCN, RD/LDN,
Contact information
Practice address
417 ACADEMY ST, CAMBRIDGE, MD 21613-1958
(410) 228-2474
Mailing address
417 ACADEMY ST, CAMBRIDGE, MD 21613-1958
(410) 228-2474
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3200
MD
Other
Enumeration date
09/15/2011
Last updated
10/07/2019
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