Individual
GRACE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, MA, CHC
Contact information
Practice address
8103 FAWN CT, CLINTON, MD 20735-1947
(240) 388-5396
Mailing address
8103 FAWN CT, CLINTON, MD 20735-1947
(240) 388-5396
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
59393011
NY
Other
Enumeration date
08/22/2012
Last updated
08/10/2020
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