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1144500208
DIANE A VIZTHUM
BALTIMORE, MD
NPI
1144500208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: MD DX3229)
Enumeration Date
2011-08-22
Last Update Date
2015-09-02
Business Address
-- DIANE A VIZTHUM R.D.
600 N WOLFE ST NUTRITION CLINIC, HALSTED 153
BALTIMORE, MD 21287-1900
Phone number: 410-955-6716
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Mailing Address
-- DIANE A VIZTHUM R.D.
2360 W JOPPA ROAD STE 210
LUTHERVILLE, MD 21093
Phone number: 410-614-3372
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