Individual
MINDY K ATHAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, RDN
Contact information
Practice address
1111 BENFIELD BLVD STE 200, MILLERSVILLE, MD 21108-3004
(410) 729-5100
Mailing address
1111 BENFIELD BLVD STE 200, MILLERSVILLE, MD 21108-3004
(410) 729-5100
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D02149
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
857955
COMMISSION ON DIETETIC REGISGTRATION
MD
Enumeration date
12/12/2017
Last updated
12/12/2017
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