Individual
CHRISTINA BROCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CNS, LDN
Contact information
Practice address
5718 NOTTINGHAM PL, ADAMSTOWN, MD 21710-9473
(301) 874-2957
Mailing address
5718 NOTTINGHAM PL, ADAMSTOWN, MD 21710-9473
(301) 874-2957
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
DX4209
MD
Other
Enumeration date
05/26/2017
Last updated
07/21/2022
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