Grant, Wanda Louise

Grant, Wanda Louise is an sole proprietor health care provider with primary practice located at 8710 Clubhouse Blvd , Desert Hot Springs CA 92240-1166. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Grant, Wanda Louise can be contacted via phone (760) 668-9289.

Contact Information

Primary practice address
8710 Clubhouse Blvd Desert Hot Springs CA 92240-1166
Phone: (760) 668-9289
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 413840 California
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 413840 Washington

Profile Details

NPI number 1487127114
LBN Legal business name Grant, Wanda Louise
Credentials REGISTERED DIETITIAN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2019
Last updated Jan 4th, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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