Individual
ELLEN M GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-2383
Mailing address
300 MAIN ST, LEWISTON, ME 04240-7027
(207) 795-2383
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
01/31/2020
Last updated
06/06/2024
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