Individual
MRS. KRISTINE BENNETT BRADSHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
21408 LAYTONSVILLE RD, LAYTONSVILLE, MD 20882-1622
(301) 947-1775
Mailing address
21408 LAYTONSVILLE RD, LAYTONSVILLE, MD 20882-1622
(301) 947-1775
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI34
DC
Other
Enumeration date
03/20/2007
Last updated
07/08/2007
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