Organization
MARYLAND DIETITIAN GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEAH LEBEL RD (OWNER)
(718) 877-4937
Entity
Organization
Contact information
Practice address
6110 RUSK AVE, BALTIMORE, MD 21209-4106
(347) 746-0453
Mailing address
7440 SAN CLEMENTE PL, BOCA RATON, FL 33433-1005
(718) 877-4937
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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