Individual
ANDREA LYNN GRIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1111 E SPRUCE AVE, MAIL STOP 950, FRESNO, CA 93720-3330
(559) 450-5166
(559) 450-5486
Mailing address
1303 E HERNDON AVE, MAIL STOP 220, FRESNO, CA 93720-3309
(559) 450-5166
(559) 450-5473
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
837240
—
Other
Enumeration date
08/19/2006
Last updated
07/08/2007
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