Healthcare Provider Details

I. General information

NPI: 1144698424
Provider Name (Legal Business Name): DONNA SINGLETON DUNSTON MS, LN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2015
Last Update Date: 09/03/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11607 CAPLINGER RD
SILVER SPRING MD
20904-2768
US

IV. Provider business mailing address

11607 CAPLINGER RD
SILVER SPRING MD
20904-2768
US

V. Phone/Fax

Practice location:
  • Phone: 202-258-3719
  • Fax:
Mailing address:
  • Phone: 202-258-3719
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133N00000X
TaxonomyNutritionist
License NumberNU23
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: