Search › Georgia › 133V00000X

Malorie Blake, MS, RDN, LDN, CLT

NPI 1366996936 · on the registry since 2016 · sole proprietor

Practice

Address
322 Timberland Cir
Richmond Hill, GA 31324
Phone
(717) 634-4227
Organisation at this address
Bloom Functional Nutrition
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
133V00000X
133V00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2024-01-30

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia