Individual
MS. KIM TRAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN
Contact information
Practice address
440 UNIVERSITY DR, SEVERN, MD 21144-2826
(410) 627-0345
Mailing address
440 UNIVERSITY DR, SEVERN, MD 21144-2826
(410) 627-0345
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
B00231
MD
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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