Organization
STELLAR HEALTH NUTRITION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PENELOPE ANN TAYLOR RDN (DIETITIAN)
(202) 509-3860
Entity
Organization
Contact information
Practice address
4701 SANGAMORE RD STE 100N1162, BETHESDA, MD 20816-2508
(301) 304-7858
Mailing address
4701 SANGAMORE RD, STE 100N PMB 1162, BETHESDA, MD 20816-1511
(301) 304-7858
(833) 703-0207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/08/2022
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