Individual
LAURA MARIE GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, RD, LD
Contact information
Practice address
111 MICHIGAN AVE NW, WASHINGTON, DC 20010-2916
(202) 476-4013
Mailing address
111 MICHIGAN AVE NW, FOOD AND NUTRITION SERVICES, WASHINGTON, DC 20010-2916
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
DI100000329
DC
Other
Enumeration date
12/01/2008
Last updated
12/02/2008
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