Leann K Grossman RD

NPI 1114218203 - Dietitian, Registered - 133V00000X

NPI Details
NPI 1114218203
Gender Female
Enumeration Date 04/25/2011
Last Updated 04/25/2011
Entity Type Individual
Active Over 5 years ago
Practice Location
736 MEDICAL CENTER DR
SUITE 102
WILMINGTON NC, 28401-4170, US
Phone (910) 763-5979
Fax
Business Location
736 MEDICAL CENTER DR
SUITE 102
WILMINGTON NC, 28401-4170, US
Phone (910) 763-5979
Fax
Toxanomy
Taxonomy Code 133V00000X
License State North Carolina
License Number L002769
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According to our database, Ms. Leann K Grossman RD NPI is 1114218203, taxonomy code is 133V00000X and license number is L002769, license state is located at North Carolina. Leann K Grossman RD physically located at 736 Medical Center Dr, Wilmington NC, 28401-4170. NPI Number Leann K Grossman RD has the Individual type.

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1114218203 NPI number is provided on an as is basis without warranty of any kind. 1114218203 is maintained by the National Plan & Provider Enumeration System. The contents of Leann K Grossman RD are for informational purposes only.