Individual
DENISE E GROOTHUIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
141 FRANKLIN ST, STAMFORD, CT 06901-1014
(203) 969-0802
Mailing address
52 STONEWALL CIR, WEST HARRISON, NY 10604-1117
(917) 439-1209
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
007407
NY
Other
Enumeration date
06/05/2018
Last updated
06/05/2018
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