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Individual

MRS. BRANDY MICHELLE MSALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RD, LD

Contact information

Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-7970
Mailing address
8118 GOOD LUCK RD, LANHAM, MD 20706
(301) 552-7970

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
DX3487
MD
133V00000X
Registered Dietitian
Primary
86019915
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
86019915
DIETITIAN
VA
Enumeration date
11/06/2013
Last updated
11/06/2013
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