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Individual

KENDRA ANN GRINDE-BUSALACCHI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, CDE

Contact information

Practice address
4205 ALBATROSS DR, SAN DIEGO, CA 92103-1906
(406) 698-4068
Mailing address
4205 ALBATROSS DR, SAN DIEGO, CA 92103-1906
(406) 698-4068

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
925982

Other

Enumeration date
04/03/2007
Last updated
12/30/2015
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