Individual
RENAE M BLANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D.
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8100
Mailing address
5410 56TH PL APT 102, RIVERDALE, MD 20737-2727
(920) 366-0462
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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