Most Relevant Information
Provider Data
| NPI Number: | 1003492349 |
| Provider Name: | MOLLIE NELSON CNS, LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133N00000X |
| Specialty: | Nutritionist |
| License Number: | DX4856 |
Most Important Dates
| Enumeration Date: | 03/18/2021 |
| Last Updated: | 03/18/2021 |
Provider Practice Location
9501 OLD ANNAPOLIS RD STE 205
ELLICOTT CITY
MD
210426336
Practice Location Phone/Fax
| Phone: | 4106482555 |
| Fax: |
Provider Mailing Location
10433 WATERFOWL TER
COLUMBIA
MD
210442466
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |