Organization
PASSION4PROGRESSION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL ANTHONY CHIAGORO (CEO)
(240) 374-3088
Entity
Organization
Contact information
Practice address
14204 OXFORD DRIVE, LAUREL, MD 20707-5852
(301) 346-0340
Mailing address
14204 OXFORD DRIVE, LAUREL, MD 20707-5852
(301) 346-0340
Taxonomy
Speciality
Code
Description
License number
State
133VN1201X
Obesity and Weight Management Nutrition Registered Dietitian
—
—
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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