Individual
ELIZABETH JEAN PENN-WUORINEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDM, CFPP
Contact information
Practice address
420 CREEKSIDE TRL, FRUITLAND, MD 21826-1950
(443) 201-4589
Mailing address
420 CREEKSIDE TRL, FRUITLAND, MD 21826-1950
(443) 201-4589
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
12/05/2022
Last updated
12/05/2022
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