Individual
DIANA M GRANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
419 S WASHINGTON STREET, SUITE 200, CASPER, WY 82601
(307) 237-8400
(307) 265-8313
Mailing address
PO BOX 51106, CASPER, WY 82605
(307) 237-8400
(307) 265-8313
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
712579
—
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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