Organization
INNOVATIVE NUTRITION GROUP
Active
Organization
INNOVATIVE NUTRITION GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VALERIE GROSSO RD (OWNER/REGISTERED DIETITIAN)
(602) 430-8405
Entity
Organization
Contact information
Practice address
5350 E MARILYN RD, SCOTTSDALE, AZ 85254-2346
(602) 430-8405
Mailing address
6501 E GREENWAY PKWY STE 103-195, SCOTTSDALE, AZ 85254-2025
(602) 430-8405
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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