Organization
I HEART REAL FOOD
Active
Organization
I HEART REAL FOOD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MAKETA DIXON CNS, LDN (NUTRITIONIST)
(240) 306-7400
Entity
Organization
Contact information
Practice address
3 CARRIAGE WALK CT, GAITHERSBURG, MD 20879-5512
(240) 306-7400
Mailing address
3 CARRIAGE WALK CT, GAITHERSBURG, MD 20879-5512
(240) 306-7400
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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