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Individual

ANN KEATING

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNS, LDN

Contact information

Practice address
10440 SHAKER DR, SUITE103, COLUMBIA, MD 21046-1200
(240) 246-5349
Mailing address
13321 DOVEDALE WAY APT G, GERMANTOWN, MD 20874-4457
(301) 704-2909

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX3674
MD

Other

Enumeration date
09/14/2015
Last updated
09/14/2015
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