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Organization

NUTRITION AND YOUR TEMPLE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA NAOMI WHITE NUTRITIONIST (PRESIDENT, CEO)
(301) 773-2119
Entity
Organization

Contact information

Practice address
2814 WOODWAY PLACE, CHEVERLY, MD 20785-3170
(301) 773-2119
Mailing address
2814 WOODWAY PLACE, CHEVERLY, MD 20785-3170
(301) 773-2119

Taxonomy

Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
DX3002
MD

Other

Enumeration date
12/11/2009
Last updated
12/11/2009
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