Grace Bromley, RDN, LDN
Dietitian, Registered in Jacksonville, FL. Individual provider (NPI-1).
NPI number1962228544
StatusActive
Last updated in NPPESNov 27, 2024
Details
- NPI
- 1962228544
- Entity type
- Individual (NPI-1)
- Name
- Grace Bromley
- Credential
- RDN, LDN
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 27, 2024
- Certification date
- Nov 27, 2024
- Last updated
- Nov 27, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | ND11519 | FL | Yes |
Other names
- Grace Martin (Former Name)
Practice location
1833 BoulevardPob 3rd Floor
Jacksonville, FL 32206-4382
Phone 904-244-3289 · Fax 904-244-9101
Mailing address
1833 BoulevardPob 3rd Floor
Jacksonville, FL 32206-4382
Phone 904-244-3289 · Fax 904-244-9101
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