Individual
MRS. LISMARIE ORTIZ HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
700 MONTCLAIRE AVE, SUITE A, FREDERICK, MD 21701-4577
(301) 580-0008
Mailing address
215 THAXTON ST, GAITHERSBURG, MD 20878-5713
(301) 908-2775
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
08/26/2016
Last updated
08/26/2016
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