Individual
MS. SUZANNE SANTIBANEZ GROSSMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS,RD,LDN
Contact information
Practice address
3 HOSPITAL PLZ, CLARKSBURG, WV 26301-9316
(304) 624-2602
Mailing address
3 HOSPITAL PLZ, PO BOX 1680, CLARKSBURG, WV 26301-9316
(304) 624-2602
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
670
WV
Other
Enumeration date
12/21/2008
Last updated
12/21/2008
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