Organization
BEACHSIDE NUTRITION CONSULTANTS
Active
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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