Individual
KIRSTIN L. GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.D., C.D.E.
Contact information
Practice address
131 BONNIE BRAE CT, GRANITE SPRINGS, NY 10527-1022
(914) 419-0425
Mailing address
131 BONNIE BRAE CT, GRANITE SPRINGS, NY 10527-1022
(914) 419-0425
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
005008-1
NY
Other
Enumeration date
07/23/2012
Last updated
07/23/2012
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