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Organization
NUTRITION COACHING CENTER
Active
Organization
NUTRITION COACHING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN SCOTT GRODNITZKY MS, RD, CDE, LDN (OWNER/REGISTERED DIETITIAN)
(443) 802-6823
Entity
Organization
Contact information
Practice address
57 W TIMONIUM RD STE 111, LUTHERVILLE TIMONIUM, MD 21093-3104
(443) 802-6823
Mailing address
57 W TIMONIUM RD STE 111, LUTHERVILLE TIMONIUM, MD 21093-3104
(443) 802-6823
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DX2677
MD
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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