Individual
MRS. JILLIAN LEE GROSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD, LDN
Contact information
Practice address
80 PALOMINO LANE NUTRITION IN MOTION, LLC, SUITE 101, BEDFORD, NH 03110
(603) 518-5859
(603) 606-1032
Mailing address
80 PALOMINO LANE NUTRITION IN MOTION, LLC, SUITE 101, BEDFORD, NH 03110
(603) 518-5859
(603) 606-1032
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
4286
MA
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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