Individual
MISS MARLEY GRAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1400 8TH AVE, FORT WORTH, TX 76104-4110
(940) 300-7012
Mailing address
8841 WESTON LN, LANTANA, TX 76226-6683
(940) 300-7012
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
03/21/2021
Last updated
03/21/2021
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