Individual
GRACE MATYCHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
16623 BIRKDALE COMMONS PKWY, HUNTERSVILLE, NC 28078-5621
(704) 820-4197
Mailing address
16623 BIRKDALE COMMONS PKWY, HUNTERSVILLE, NC 28078-5621
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
04/14/2020
Last updated
07/08/2020
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