Individual
MS. PEGGY ANN MILAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MBA, RD
Contact information
Practice address
1050 W PERIMETER RD, ANDREWS AFB, MD 20762-6601
(240) 857-3154
(240) 857-6858
Mailing address
1115A BOSTON RD, ANDREWS AFB, MD 20762-5498
(240) 857-3154
(240) 857-6858
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
727234
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
727234
REGISTERED DIETITIAN #
—
Enumeration date
12/05/2006
Last updated
08/21/2012
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