Individual
MARTHA KAY GRODRIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, LD, CDE, IBCLC
Contact information
Practice address
953 GARDNER RD, DAYTON, OH 45429-4520
(937) 293-0553
(937) 641-2605
Mailing address
953 GARDNER RD, DAYTON, OH 45429-4520
(937) 293-0553
(937) 641-2605
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD656
OH
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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