Individual
MS. LEANN K GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1705 GARDNER DR, WILMINGTON, NC 28405-8873
(910) 934-3153
Mailing address
1011 W COVE LOOP, LELAND, NC 28451-9575
(910) 214-3924
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L002769
NC
Other
Enumeration date
04/25/2011
Last updated
09/16/2020
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