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Individual

PAULINE GRISSOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RD

Contact information

Practice address
1001 POTRERO AVE, 6M31, SAN FRANCISCO, CA 94110-3518
(415) 206-5220
Mailing address
126 MOUNTAIN SPRING AVE, SAN FRANCISCO, CA 94114-2120

Taxonomy

Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
1065352
IL

Other

Enumeration date
08/14/2015
Last updated
08/14/2015
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