Individual
MRS. STACEY L GRETKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSHN
Contact information
Practice address
10130 MALLARD CREEK RD, STE 300, CHARLOTTE, NC 28262-6000
(704) 549-9550
(704) 549-9570
Mailing address
101 S TRYON ST, STE 200, CHARLOTTE, NC 28280-0002
(980) 254-8433
(704) 943-0720
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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