Organization
SREANSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDERS E. GRANT R.D. (OWNER)
(410) 833-8566
Entity
Organization
Contact information
Practice address
34 BRAMPTON CT, REISTERSTOWN, MD 21136-6432
(410) 833-8566
(410) 833-8566
Mailing address
PO BOX 1390, OWINGS MILLS, MD 21117-1384
(410) 833-8566
(410) 833-8566
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
D02163
MD
Other
Enumeration date
09/21/2006
Last updated
03/08/2011
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