Grace Derocha in Warren - Dietitian, Registered
Grace Derocha - NPI 1659567592
Grace Derocha is a Dietitian, Registered in Warren, Michigan. Grace Derocha practices all healthcare services and medical treatments related to Dietitian, Registered. The NPI Number for Grace Derocha is 1659567592. The last update date is 2013-10-21.
Grace Derocha's current location address is 30158 Trailwood Dr, Warren, Michigan. You can contact this provider via phone number 3135701166. The mailing address for Grace Derocha is 30158 Trailwood Dr, Warren, Michigan. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Grace Derocha |
|---|---|
| Address | 30158 Trailwood Dr, Warren, Michigan |
| Phone Number | 3135701166 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | R.D., C.D. |
NPI Number Detail
| NPI Number | 1659567592 |
|---|---|
| Provider Enumeration Date | 2007-09-24 |
| Last Updated Date | 2013-10-21 |
Provider Mailing Address Detail
| Address | 30158 Trailwood Dr |
|---|---|
| City | Warren |
| State | Michigan (MI) |
| Post Code | 480926304 |
| Phone Number | 3135701166 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dietitian, Registered |
|---|---|
| Taxonomy | 133V00000X |
| Licence No | 886178 |
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Definition: A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of |
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What is the unique identification code assigned to Grace Derocha by the Centers for Medicare & Medicaid Services?
The Grace Derocha has been issued the NPI (National Provider Identifier) 1659567592. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Grace Derocha?
The Grace Derocha is physically situated at 30158 Trailwood Dr, in the city of Warren, state of MI, with the postal code 480926304.
What is Grace Derocha's area of expertise and its corresponding taxonomy classification?
The Grace Derocha's field of specialization is Dietitian, Registered, and it falls under the taxonomy code 133V00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Grace Derocha receive the assignment of its 1659567592 from the Centers for Medicare & Medicaid Services?
The Grace Derocha was issued its 1659567592 by the Centers for Medicare & Medicaid Services on 2007-09-24.
When was the information regarding Grace Derocha most recently updated?
The details pertaining to the Grace Derocha, including its address, specialty, and other relevant information, were last refreshed on 2013-10-21.
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