Individual
HALEY BETH GRACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.D, L.D
Contact information
Practice address
29 MITYLENE PARK LN, MONTGOMERY, AL 36117-7303
(334) 356-2061
(334) 356-2694
Mailing address
29 MITYLENE PARK LN, MONTGOMERY, AL 36117-7303
(334) 356-2061
(334) 356-2694
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2879
AL
133V00000X
Registered Dietitian
DT82658
TX
Other
Enumeration date
04/03/2013
Last updated
09/11/2018
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