Most Relevant Information
Provider Data
| NPI Number: | 1003574385 |
| Provider Name: | AUDREY JANICE BURKE MS, CNS, LDN |
| Entity Type: | Individual |
| Taxonomy Code: | 133NN1002X |
| Specialty: | Nutritionist |
| License Number: | DX5385 |
Most Important Dates
| Enumeration Date: | 12/03/2021 |
| Last Updated: | 12/03/2021 |
Provider Practice Location
3939 ROLAND AVE APT 213
BALTIMORE
MD
212112048
Practice Location Phone/Fax
| Phone: | 6173271073 |
| Fax: |
Provider Mailing Location
3939 ROLAND AVE APT 213
BALTIMORE
MD
212112048
Provider Mailing Phone/Fax
| Phone: | 6173271073 |
| Fax: |