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Individual

JAYASHREE SANGHAVI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
4404 DONCASTER DR, ELLICOTT CITY, MD 21043-6797
(845) 380-4820
Mailing address
4404 DONCASTER DR, ELLICOTT CITY, MD 21043-6797
(845) 380-4820

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX2783
MD
133V00000X
Registered Dietitian

Other

Enumeration date
09/29/2021
Last updated
09/29/2021
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