Individual
OLIVIA MASSA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2437 EASTERN AVE APT A, BALTIMORE, MD 21224-3692
(302) 419-6545
Mailing address
2437 EASTERN AVE APT A, BALTIMORE, MD 21224-3692
(302) 419-6545
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX4169
MD
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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