Individual
MRS. MICHELLE DAWN GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
1025 S 2ND AVE, WALLA WALLA, WA 99362-4116
(509) 527-8000
(509) 527-8226
Mailing address
PO BOX 1398, WALLA WALLA, WA 99362-0309
(509) 527-8000
(509) 527-8226
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DI60659124
WA
133V00000X
Registered Dietitian
DN005221
PA
133V00000X
Registered Dietitian
LD-D-10176576
OR
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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