Individual
ANNA R GROTEVANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RD, LDN
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(774) 443-3887
(774) 443-3913
Mailing address
159 COBURN AVE APT 3, WORCESTER, MA 01604-1112
(508) 272-3613
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
3557
MA
Other
Enumeration date
01/06/2014
Last updated
07/16/2019
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