Individual
MS. GRACE BAGSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LD
Contact information
Practice address
1731 BUNKER HILL RD NE, WASHINGTON, DC 20017-3026
(202) 635-6126
(202) 636-5388
Mailing address
1731 BUNKER HILL RD NE, WASHINGTON, DC 20017-3026
(202) 635-6126
(202) 636-5388
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI100000922
DC
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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