Individual
DONNA ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14709 BROUGHAM WAY, NORTH POTOMAC, MD 20878-3330
(301) 910-6940
Mailing address
14709 BROUGHAM WAY, NORTH POTOMAC, MD 20878-3330
(301) 910-6940
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D00584
MD
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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