Individual
ANIKA LYNETTE AVERY-GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 E COLONY DR, WATERVILLE, OH 43566-8723
(440) 668-1710
Mailing address
2471 PLUM CREEK LN, ROAMING SHORES, OH 44084-9687
(440) 668-1710
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD.3857
OH
Other
Enumeration date
04/12/2022
Last updated
04/12/2022
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