Individual
SHARON A GRASSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPH, RD
Contact information
Practice address
2500 N ROSE ST, FLAGSTAFF, AZ 86004-3659
(928) 213-6100
(928) 774-1652
Mailing address
PO BOX 3630, FLAGSTAFF, AZ 86003-3630
(928) 213-6121
(928) 213-6136
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
RD809715
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RD809715
LICENSE
AZ
Enumeration date
01/19/2007
Last updated
07/08/2007
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