Individual
BLAISE REBECCA GRIESEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCN, LN
Contact information
Practice address
2804 DALLAS ST NE, ALBUQUERQUE, NM 87110-2708
(505) 382-3297
Mailing address
2804 DALLAS ST NE, ALBUQUERQUE, NM 87110-2708
(505) 382-3297
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
NDP-2024-0117
NM
Other
Enumeration date
10/22/2024
Last updated
10/22/2024
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