Organization
PARTNERING4WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MICHON LYNETTE POWELL MS, CNS, LDN (CERTIFIED LICENSED NUTRITIONIST)
(301) 466-6493
Entity
Organization
Contact information
Practice address
9603 GREYFIELD CT, BOWIE, MD 20721-3180
(301) 925-4209
Mailing address
9603 GREYFIELD CT, BOWIE, MD 20721-3180
(301) 925-4209
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX3766
MD
Other
Enumeration date
04/16/2015
Last updated
04/17/2015
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