Individual
MALORIE BLAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CLT
Contact information
Practice address
322 TIMBERLAND CIR, RICHMOND HILL, GA 31324-6398
(717) 634-4227
Mailing address
322 TIMBERLAND CIR, RICHMOND HILL, GA 31324-6398
(717) 634-4227
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD006809
GA
Other
Enumeration date
08/11/2016
Last updated
01/30/2024
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