STEPHANIE FAWBUSH GRIMES

LOUISVILLE, KY
NPI1437937505
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy133V00000X Dietitian, Registered
(Licence:   86056577)
Enumeration Date2023-09-19
Last Update Date2023-09-19
Business Address
Mrs. STEPHANIE FAWBUSH GRIMES RD, LD
1411 E BRECKINRIDGE ST
LOUISVILLE, KY 40204-1707
Phone number: 859-814-3306
Mailing Address
Mrs. STEPHANIE FAWBUSH GRIMES RD, LD
1411 E BRECKINRIDGE ST
LOUISVILLE, KY 40204-1707
Phone number: 859-814-3306