Organization
NUTRITION AND YOUR TEMPLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA NAOMI WHITE MS. RD. LDN. (PRESIDENT-CEO)
(301) 773-2119
Entity
Organization
Contact information
Practice address
2814 WOODWAY PL, CHEVERLY, MD 20785-3170
(301) 773-2119
Mailing address
2814 WOODWAY PL, CHEVERLY, MD 20785-3170
(301) 773-2119
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
DX3002
MD
Other
Enumeration date
12/04/2009
Last updated
12/04/2009
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