Individual
MRS. CHETNA NILESH KANSANGRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
414 MAIN ST, LAUREL, MD 20707-4116
(301) 802-3922
(301) 498-4444
Mailing address
414 MAIN ST, LAUREL, MD 20707-4116
(301) 802-3922
(301) 498-4444
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DO1687
MD
Other
Enumeration date
03/26/2007
Last updated
12/02/2011
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