Individual
MS. JESSICA FLEISCHER SIDES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
1122 KENILWORTH DR, SUITE 109, BALTIMORE, MD 21204-2139
(410) 591-7216
Mailing address
1122 KENILWORTH DR, SUITE 109, BALTIMORE, MD 21204-2139
(410) 591-7216
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3167
MD
Other
Enumeration date
02/27/2013
Last updated
06/09/2014
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