Derocha, Grace

Derocha, Grace is an individual health care provider with primary practice located at 30158 Trailwood Dr , Warren MI 48092-6304. She recently has 2 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Health Educator. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Derocha, Grace can be contacted via phone (313) 570-1166.

Contact Information

Primary practice address
30158 Trailwood Dr Warren MI 48092-6304
Phone: (313) 570-1166
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 886178 Michigan
Other Service Providers / Health Educator 174H00000X 20920243 Michigan

Profile Details

NPI number 1659567592
LBN Legal business name Derocha, Grace
Credentials R.D., C.D.E
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 24th, 2007
Last updated Oct 21st, 2013 - about 12 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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