Organization
KSSENTIAL NUTRITION LLC
Active
Organization
KSSENTIAL NUTRITION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANWAL MANSUR MS,CNS,LDN,MBBS (CLINICAL NUTRITIONIST)
(240) 460-8290
Entity
Organization
Contact information
Practice address
10665 STANHAVEN PL STE 300A, WHITE PLAINS, MD 20695-3069
(301) 848-6020
(301) 936-1883
Mailing address
10665 STANHAVEN PL STE 300A, WHITE PLAINS, MD 20695-3069
(301) 848-6020
(301) 936-1883
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
07/07/2021
Last updated
04/08/2026
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