Individual
MEREDITH KAY GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NTP
Contact information
Practice address
6975 E PRINCESS DR APT 1016, PHOENIX, AZ 85054-4209
(417) 812-9223
Mailing address
6975 E PRINCESS DR APT 1016, PHOENIX, AZ 85054-4209
(417) 812-9223
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
871
OR
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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