Individual
BROOKE AMELIA MADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
414 2ND ST APT 330, HERMOSA BEACH, CA 90254-4610
(301) 996-2927
Mailing address
414 2ND ST APT 330, HERMOSA BEACH, CA 90254-4610
(301) 996-2927
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
09/19/2019
Last updated
05/27/2020
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