Individual
CAROL A GRAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, CDE
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2022-0200
CERTIF. DIABETES EDUCATOR
—
01
—
819518
REGISTERED DIETITIAN
—
01
—
CG819518
BLUECROSS STATE ID
MI
Enumeration date
03/02/2007
Last updated
09/27/2007
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