Individual
CAROLINE ELIZABETH BRUCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
137 W HIGH ST, SUITE 1B, ELKTON, MD 21921-8604
(410) 620-3548
Mailing address
210 CHESAPEAKE BLVD, ELKTON, MD 21921-6395
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3280
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238086YG80
MEDICARE
MD
Enumeration date
12/21/2011
Last updated
12/02/2016
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