IVIS THEODORE FORRESTER

BALTIMORE, MD
NPI1437438645
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence: MD  D02016)
Additional Taxonomies133VN1006X Dietitian, Registered, Nutrition, Metabolic
(Licence: MD  D02016)
Enumeration Date2011-08-05
Last Update Date2011-08-05
Business Address
Dr. IVIS THEODORE FORRESTER Ph.D., RD
3939 REISTERSTOWN RD
BALTIMORE, MD 21251
Phone number: 410-367-7821
Mailing Address
Dr. IVIS THEODORE FORRESTER Ph.D., RD
6210 GLEN FALLS RD
REISTERSTOWN, MD 21136
Phone number: 410-833-3682