Organization
NOURISHING NUTRITIONALS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITA W. GATHOGO RD LDN (OWNER)
(410) 440-1213
Entity
Organization
Contact information
Practice address
1005 N POINT BLVD, BALTIMORE, MD 21224-3415
(410) 440-1213
(443) 835-2502
Mailing address
PO BOX 4784, BALTIMORE, MD 21211-0784
(410) 440-1213
(443) 835-2502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX22478
MD
133V00000X
Registered Dietitian
DX2478
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W18299354
DEPARTMENT ID
MD
Enumeration date
10/12/2017
Last updated
11/10/2025
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