Provider Demographics
NPI:1265891329
Name:MCDONALD, JANET H (RD, LDN)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:H
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:RD, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2424
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-2424
Mailing Address - Country:US
Mailing Address - Phone:410-535-2085
Mailing Address - Fax:410-535-0404
Practice Address - Street 1:205 STEEPLE CHASE DR
Practice Address - Street 2:SUITE 307
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-4053
Practice Address - Country:US
Practice Address - Phone:443-432-3020
Practice Address - Fax:443-486-7178
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00376133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered