Individual
BETHANY BALENTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
200 E VINE ST STE B, SALISBURY, MD 21804-5531
(443) 358-6445
Mailing address
820 W DIAMOND AVE STE 500, GAITHERSBURG, MD 20878-1469
(301) 315-3826
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX5406
MD
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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