Individual
DUANE WALTERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(141) 038-3830
Mailing address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(141) 038-3830
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
NU 10000119
DC
Other
Enumeration date
01/12/2015
Last updated
01/12/2015
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