Individual
ASHLEY LEE GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDN, LD/N
Contact information
Practice address
853 3RD AVE N, ST PETERSBURG, FL 33701-2703
(501) 365-6552
Mailing address
853 3RD AVE N, ST PETERSBURG, FL 33701-2703
(501) 365-6552
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86130728
FL
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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