Individual
JASON BOSLEY-SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LDN, CNS
Contact information
Practice address
2200 KERNAN DR, 2ND FLOOR, BALTIMORE, MD 21207-6665
(410) 448-6361
(410) 448-1873
Mailing address
2200 KERNAN DR, 2ND FLOOR, BALTIMORE, MD 21207-6665
(410) 448-6361
(410) 448-1873
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX3830
MD
Other
Enumeration date
07/13/2016
Last updated
07/13/2016
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