Individual
GRACE LONDON MISKELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDN, LD
Contact information
Practice address
1935 MEDICAL DISTRICT DR, DALLAS, TX 75235-7701
(844) 424-4537
Mailing address
5065 AMESBURY DR APT 315, DALLAS, TX 75206-4629
(601) 502-3990
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DT88126
TX
133VN1004X
Pediatric Nutrition Registered Dietitian
DT88126
TX
Other
Enumeration date
01/31/2023
Last updated
01/31/2023
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