Individual
DR. MARY GRANACHER ROSEMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, RD, LD
Contact information
Practice address
120 CREEK RIDGE DR, NICHOLASVILLE, KY 40356-8673
(859) 333-8807
Mailing address
120 CREEK RIDGE DR, NICHOLASVILLE, KY 40356-8673
(859) 333-8807
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
D1601
MS
Other
Enumeration date
11/26/2013
Last updated
11/26/2013
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