Individual
CHARLOTTE AMANDA MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN, CSOWM
Contact information
Practice address
3401 BOSTON ST, BALTIMORE, MD 21224-5049
(703) 298-2502
Mailing address
3700 TOONE ST APT 1105, BALTIMORE, MD 21224-5144
(703) 298-2502
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX3688
MD
Other
Enumeration date
07/09/2018
Last updated
07/09/2018
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