Facts
- Status
- A
- Credential
- MS, RDN, LDN
- Type
- Individual
- Enumeration date
- 2023-07-07
- Last updated
- 2023-07-07
Specialties
Licenses
- License DE
- DE-0011054
Location
- Practice location
- 20930 DUPONT BLVD UNIT 202
- City
- GEORGETOWN DE
- Postal code
- 199471724
- Phone
- 302-202-3438
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
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Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.