Provider Demographics
NPI:1740841204
Name:WOODS-FRANCIS, BRENDA JEAN (RDN)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:JEAN
Last Name:WOODS-FRANCIS
Suffix:
Gender:F
Credentials:RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6113 NIGHTSHADE CT
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-3409
Mailing Address - Country:US
Mailing Address - Phone:301-770-7911
Mailing Address - Fax:
Practice Address - Street 1:6113 NIGHTSHADE CT
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3409
Practice Address - Country:US
Practice Address - Phone:301-770-7911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-25
Last Update Date:2019-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD01159133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered