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Individual

BILLIE WALTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, CNS, LDN

Contact information

Practice address
332 JOHN PATRICK DR, STEVENSVILLE, MD 21666-2681
(301) 928-2634
Mailing address
332 JOHN PATRICK DR, STEVENSVILLE, MD 21666-2681
(301) 928-2634

Taxonomy

Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX3788
MD

Other

Enumeration date
09/02/2015
Last updated
09/02/2015
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