Individual
DR. AMY WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD, RDN, LDN
Contact information
Practice address
11711 LIVINGSTON RD, FORT WASHINGTON, MD 20744-5151
(301) 203-2447
Mailing address
6 AUSTIN DR, EDGEWATER, MD 21037-2229
(334) 303-4135
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4533
MD
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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