Organization
NUTRITIONAL METAMORPHOSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHELSEA HALSMAN RD, LDN (REGISTERED DIETITIAN)
(443) 900-7722
Entity
Organization
Contact information
Practice address
5925 DUNBAR TER, SALISBURY, MD 21804-1472
(443) 900-7722
Mailing address
5925 DUNBAR TER, SALISBURY, MD 21804-1472
(443) 900-7722
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
799883000
—
MD
Enumeration date
09/15/2021
Last updated
09/15/2021
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