Tonda L. Gridley LDN, CDE

NPI 1942417019 - Dietetic Technician, Registered - 136A00000X

NPI Details
NPI 1942417019
Gender Female
Enumeration Date 05/17/2007
Last Updated 05/21/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
270 COPPERFIELD BLVD NE
SUITE 102
CONCORD NC, 28025-2441, US
Phone (704) 786-6521
Fax (704) 782-9703
Business Location
PO BOX 602120
CHARLOTTE NC, 28260-2120, US
Phone (704) 786-6521
Fax (704) 782-9703
Toxanomy
Taxonomy Code 136A00000X
License State North Carolina
License Number L001311
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According to our database, Tonda L. Gridley LDN, CDE NPI is 1942417019, taxonomy code is 136A00000X and license number is L001311, license state is located at North Carolina. Tonda L. Gridley LDN, CDE physically located at 270 Copperfield Blvd Ne, Concord NC, 28025-2441. NPI Number Tonda L. Gridley LDN, CDE has the Individual type.

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1942417019 NPI number is provided on an as is basis without warranty of any kind. 1942417019 is maintained by the National Plan & Provider Enumeration System. The contents of Tonda L. Gridley LDN, CDE are for informational purposes only.