Individual
ELYSE KONTRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
(410) 553-8150
Mailing address
301 HOSPITAL DR, GLEN BURNIE, MD 21061-5803
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3398
MD
Other
Enumeration date
04/24/2013
Last updated
07/18/2014
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