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Individual

MRS. GRACE NORTON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
RDN, IBCLC

Contact information

Practice address
4408 N 38TH ST, PHOENIX, AZ 85018-4114
(480) 256-9105
Mailing address
9393 E PALO BREA BND APT 1097, SCOTTSDALE, AZ 85255-6510
(480) 416-7295

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
1049578
AZ
174N00000X
Lactation Consultant (Non-RN)
L-61999
AZ

Other

Enumeration date
11/23/2016
Last updated
05/07/2021
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