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Individual

MS. COURTNEY NICOLE GROVE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.P.H., R.D., L.D.N.

Contact information

Practice address
2603 NAVAJO PATH, AMBLER, PA 19002-3632
(814) 571-9644
Mailing address
2603 NAVAJO PATH, AMBLER, PA 19002-3632
(814) 571-9644

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
DN003714
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3727333000
INDEPENDENCE BLUE CROSS
PA
Enumeration date
05/07/2009
Last updated
06/03/2013
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