Doctor Name: | DR. ZANETA GRASETTA BROWN |
NPI Number: | 1043557911 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PHD |
License Number: | |
Business Practice Address: | 12125 Open View Ln Upper Marlboro, MD - 207741635 |
Business Phone Number: | 3013461836 |
Business Fax Number: | |
Mailing Address: | 12125 Open View Ln, UPPER MARLBORO |
State: | MD |
Postal Code: | 207741635 |
Phone Number: | 3013461836 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2013 |
NPI Last Update Date: | 01/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133NN1002X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Nutritionist |
Taxonomy Specialization: | Nutrition, Education |
Taxonomy Definition: |