Individual
DANICA TEAGAN GARVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
4940 EASTERN AVE, BMO, LEVEL 02, BALTIMORE, MD 21224-2735
(410) 550-5260
Mailing address
11306 BUCKLEBERRY PATH, COLUMBIA, MD 21044-1008
(443) 253-0898
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4982
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86169803
COMMISSION ON DIETETIC REGISTRATION ID NUMBER
—
01
—
DX4982
MARYLAND BOARD OF DIETETIC PRACTICE LICENSE
MD
Enumeration date
02/09/2021
Last updated
02/09/2021
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