Organization
WELLNESS DRAGONFLY CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI ANN BERES MS, CNS, LDN (PRESIDENT)
(443) 810-7184
Entity
Organization
Contact information
Practice address
10572 GATERIDGE RD, COCKEYSVILLE, MD 21030-2839
(443) 810-7184
Mailing address
10572 GATERIDGE RD, COCKEYSVILLE, MD 21030-2839
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
133V00000X
Registered Dietitian
—
—
Other
Enumeration date
08/23/2021
Last updated
09/21/2021
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