Individual
ELSIANE GRACE DANTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
810 SOMERSET VALE DR, LAWRENCEVILLE, GA 30044-6059
(404) 474-2286
Mailing address
810 SOMERSET VALE DR, LAWRENCEVILLE, GA 30044-6059
(404) 474-2286
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
—
—
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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