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Individual

MRS. SONYA PHILLIPS GRISHAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, RD, LD, CDE

Contact information

Practice address
8950 DR MARTIN LUTHER KING JR ST N, STE 101, ST PETERSBURG, FL 33702-3001
(727) 520-0800
(727) 520-0313
Mailing address
8950 DR MARTIN LUTHER KING JR ST N, STE 101, ST PETERSBURG, FL 33702-3001
(727) 520-0800
(727) 520-0313

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
723162
AL

Other

Enumeration date
01/17/2007
Last updated
05/20/2008
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