Organization
KANDIS GROSE MS RD LN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KANDIS GROSE MS, RD, LN (OWNER)
(406) 839-3851
Entity
Organization
Contact information
Practice address
649 MIDDLE BURNT FORK RD, STEVENSVILLE, MT 59870
(406) 839-3851
Mailing address
PO BOX 44, STEVENSVILLE, MT 59870-0044
(406) 839-3851
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
—
—
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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