Organization
BEACHSIDE NUTRITION CONSULTANTS
Active
Other names
Nutrition by Brooke
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE AMELIA MADER MS, CNS, LDN (NUTRITIONIST)
(301) 996-2927
Entity
Organization
Contact information
Practice address
414 2ND ST APT 330, HERMOSA BEACH, CA 90254-4610
(301) 996-2927
Mailing address
29 ETHELWOOD CT, OLNEY, MD 20832-2900
(301) 996-2927
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
251E00000X
Home Health Agency
—
—
Other
Enumeration date
12/09/2020
Last updated
01/22/2021
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