Individual
MRS. HEATHER MITCHELL MOORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN, RDCS
Contact information
Practice address
8909 VICTORY LN, POTOMAC, MD 20854-3647
(301) 651-0033
Mailing address
8909 VICTORY LN, POTOMAC, MD 20854-3647
(301) 651-0033
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX3723
MD
Other
Enumeration date
02/02/2015
Last updated
02/02/2015
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