Individual
ANDERS E GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
401 PARADISE RD, MODESTO, CA 95351-3163
(209) 722-4842
Mailing address
1400 FLORIDA AVE STE 102, MODESTO, CA 95350-4446
(443) 842-6788
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
D02163
MD
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
CA
Other
Enumeration date
11/04/2005
Last updated
12/12/2025
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