Individual
ASHLIE MARIE CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNS
Contact information
Practice address
4 TAFT CT STE 100, ROCKVILLE, MD 20850-5577
(240) 406-4195
Mailing address
1628 CHESTON LN APT G, HANOVER, MD 21076-1935
(443) 924-3160
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX6678
MD
Other
Enumeration date
05/13/2024
Last updated
05/13/2024
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