Individual
ALICIA B GLASSFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LD
Contact information
Practice address
758 OLD NORCROSS RD, SUITE 175, LAWRENCEVILLE, GA 30046-3385
(770) 339-1387
(770) 962-7868
Mailing address
758 OLD NORCROSS RD, SUITE 175, LAWRENCEVILLE, GA 30046-3385
(770) 339-1387
(770) 962-7868
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD002945
GA
Other
Enumeration date
10/09/2012
Last updated
10/09/2012
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