Individual
GRACE KATHERINE CLELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, RDN, LDN
Contact information
Practice address
413 W 8TH ST APT P, CHARLOTTE, NC 28202-1798
(248) 821-6004
Mailing address
413 W 8TH ST APT P, CHARLOTTE, NC 28202-1798
(248) 821-6004
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
L007316
NC
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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