Provider Demographics
NPI:1730999798
Name:HORTON, CAMILLE (MPH, RD)
Entity type:Individual
Prefix:
First Name:CAMILLE
Middle Name:
Last Name:HORTON
Suffix:
Gender:F
Credentials:MPH, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:331 MADISON ST APT A
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5986
Mailing Address - Country:US
Mailing Address - Phone:717-357-1915
Mailing Address - Fax:
Practice Address - Street 1:168 W MAIN ST UNIT 636
Practice Address - Street 2:
Practice Address - City:NEW MARKET
Practice Address - State:MD
Practice Address - Zip Code:21774-7526
Practice Address - Country:US
Practice Address - Phone:301-291-5676
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-11
Last Update Date:2025-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered