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Organization

CKNMG

Active
Other names
Closeknit (Nutrition), Culina
Organization subpart
No

Provider details

NPI number
Authorized official
MARY JANE FAVAZZA (CEO)
(410) 205-1487
Entity
Organization

Contact information

Practice address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(866) 233-6925
Mailing address
1501 S CLINTON ST, BALTIMORE, MD 21224-5730
(866) 233-6925

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
11/12/2025
Last updated
01/20/2026
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