Individual
ERIKA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS RD LD CNSC
Contact information
Practice address
181 GOOSE ROCKS RD, KENNEBUNKPORT, ME 04046-5246
(802) 309-9094
Mailing address
181 GOOSE ROCKS RD, KENNEBUNKPORT, ME 04046-5246
(802) 309-9094
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI1085
ME
Other
Enumeration date
12/02/2015
Last updated
12/02/2015
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