Provider Demographics
NPI:1558181453
Name:GRANDMAISON KUHN, DANIELE (RD/RDN)
Entity type:Individual
Prefix:
First Name:DANIELE
Middle Name:
Last Name:GRANDMAISON KUHN
Suffix:
Gender:F
Credentials:RD/RDN
Other - Prefix:
Other - First Name:DANIELE
Other - Middle Name:
Other - Last Name:KUHN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:RD/RDN
Mailing Address - Street 1:219 INCLINE DR
Mailing Address - Street 2:
Mailing Address - City:COLFAX
Mailing Address - State:CA
Mailing Address - Zip Code:95713-9260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13300 NEW AIRPORT RD STE 100
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:CA
Practice Address - Zip Code:95602-7407
Practice Address - Country:US
Practice Address - Phone:530-889-8780
Practice Address - Fax:530-889-8781
Is Sole Proprietor?:No
Enumeration Date:2024-10-15
Last Update Date:2024-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDDX6064133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered