Individual
DREW LANDENBURGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CNS
Contact information
Practice address
9686 CARPERS PIKE, YELLOW SPRING, WV 26865-9032
(301) 785-7113
Mailing address
9686 CARPERS PIKE, YELLOW SPRING, WV 26865-9032
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4629
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DX4629
MARYLAND LICENSE #
MD
Enumeration date
01/25/2019
Last updated
01/25/2019
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