Individual
PALMER GRAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD, CDE
Contact information
Practice address
10605 LONGFELLOW TRCE, SHREVEPORT, LA 71106-9363
(318) 422-0949
Mailing address
10605 LONGFELLOW TRCE, SHREVEPORT, LA 71106-9363
(318) 422-0949
Taxonomy
Speciality
Code
Description
License number
State
133VN1006X
Metabolic Nutrition Registered Dietitian
Primary
935
LA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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