Individual
SANDRA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
1912 LIBERTY RD SPC 23, ELDERSBURG, MD 21784-6690
(443) 472-6802
Mailing address
2109 COTTAGE HILL CT, ELDERSBURG, MD 21784-7382
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D02289
MD
Other
Enumeration date
10/18/2019
Last updated
01/03/2020
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