Individual
BREANNA MICHELLE GRIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1025 W MAIN ST, PARK HILLS, MO 63601-2079
(573) 854-0053
Mailing address
505 6TH ST, PARK HILLS, MO 63601-4215
(573) 854-0053
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2018006930
MO
Other
Enumeration date
03/05/2018
Last updated
03/05/2018
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