Grant, Tracey A.

Grant, Tracey A. is an sole proprietor health care provider with primary practice located at 1046 E Wesleyan Dr , Tempe AZ 85282-3819. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Grant, Tracey A. can be contacted via phone (817) 905-6467.

Contact Information

Primary practice address
1046 E Wesleyan Dr Tempe AZ 85282-3819
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 1050263 Arizona
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DI60260239 Washington

Profile Details

NPI number 1033486972
LBN Legal business name Grant, Tracey A.
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 21st, 2011
Last updated Sep 30th, 2019 - about 5 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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