Individual
MS. BEVIN ALLISON CLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNS, RH
Contact information
Practice address
7750 MONTPELIER RD, LAUREL, MD 20723-6010
(410) 888-9048
(410) 888-9004
Mailing address
7750 MONTPELIER RD, LAUREL, MD 20723-6010
(410) 888-9047
(410) 888-9004
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX2871
MD
Other
Enumeration date
10/29/2008
Last updated
10/29/2008
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