Individual
MARY SOBNOSKY GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
416 CONSTITUTION DR, DURHAM, NC 27705-2853
(919) 382-2819
(919) 382-2029
Mailing address
416 CONSTITUTION DR, DURHAM, NC 27705-2853
(919) 382-2819
(919) 382-2029
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
L000615
NC
133V00000X
Registered Dietitian
Primary
L000615
NC
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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