Individual
GRACE VIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LDN
Contact information
Practice address
3906 SAKURA LN, MURFREESBORO, TN 37128-4146
(615) 525-6181
Mailing address
312 BRITISH WOODS DR, NASHVILLE, TN 37217-3355
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3866
TN
Other
Enumeration date
12/30/2020
Last updated
02/23/2023
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