Individual
EMILY WAREHEIM FULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
8388 COURT AVE STE 202, ELLICOTT CITY, MD 21043-4514
(410) 978-1414
Mailing address
19900 MIDDLETOWN RD, FREELAND, MD 21053-9421
(410) 978-1414
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DN006915
PA
133V00000X
Registered Dietitian
Primary
DX4226
MD
Other
Enumeration date
09/04/2018
Last updated
05/14/2021
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