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Individual

ETHAN OKUNAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RD

Contact information

Practice address
2903 LOCH HAVEN CT, IJAMSVILLE, MD 21754-8813
(508) 333-8639
Mailing address
2903 LOCH HAVEN CT, IJAMSVILLE, MD 21754-8813
(508) 333-8639

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX6437
MD

Other

Enumeration date
04/03/2024
Last updated
06/03/2025
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