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Organization

KONTERRA LIFE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KELA SEALS RDN (RDN/OWNER)
(301) 412-5408
Entity
Organization

Contact information

Practice address
3901 CALVERTON BLVD STE 224, BELTSVILLE, MD 20705-3407
(301) 412-5408
Mailing address
C/O ONE SOURCE CONSULTING, 3901 CALVERTON BLVD STE 224, BELTSVILLE, MD 20705
(301) 412-5408

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary

Other

Enumeration date
04/13/2023
Last updated
03/10/2025
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