Individual
FREDRICK GRUNDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6024 N LAGUNA DR, LITCHFIELD PARK, AZ 85340-7339
(602) 465-9247
Mailing address
6024 N LAGUNA DR, LITCHFIELD PARK, AZ 85340-7339
(602) 465-9247
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
—
—
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
05/13/2014
Last updated
05/14/2014
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