NPI 1376693549

Joann Theodore, RD

Practitioner Registered Dietitian Gaithersburg, MD

Practice location

Address: 12105 Darnestown Rd Suite L8, Gaithersburg, MD 20878-2217
Phone: (301) 869-0006
Fax: (301) 869-0201
Mailing address: 1136 Pipestem Place, Rockville, MD 20854

Registered specialties

Registered Dietitian Primary

Dietary & Nutritional Service Providers Taxonomy 133V00000X Licence D02111 (MD)

Other Dietitian, Registered providers in Maryland →

Registry record

NPI: 1376693549
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jan 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.