Individual
KATELYN LEE MANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN
Contact information
Practice address
2639 CONNECTICUT AVE NW STE 251, WASHINGTON, DC 20008-2651
(877) 674-2843
Mailing address
9617 QUARRY BRIDGE CT, COLUMBIA, MD 21046-1919
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86070886
MD
Other
Enumeration date
07/31/2017
Last updated
07/31/2017
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