Individual
CAMILLE GROVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 US HIGHWAY 61, FESTUS, MO 63028-4100
(636) 933-1000
Mailing address
5522 DELMAR BLVD APT 605, SAINT LOUIS, MO 63112-3055
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
2020037814
MO
Other
Enumeration date
01/28/2021
Last updated
01/28/2021
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