Individual
ELINA KOPIC ACKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5553 WICOMICO CIR, NEW MARKET, MD 21774-6257
(301) 471-3299
Mailing address
5553 WICOMICO CIR, NEW MARKET, MD 21774-6257
(301) 471-3299
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX5692
MD
Other
Enumeration date
07/08/2022
Last updated
04/03/2023
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