Individual
MEG GROSSWENDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
615 W MONTECITO AVE, SIERRA MADRE, CA 91024-1617
(917) 538-4998
Mailing address
615 W MONTECITO AVE, SIERRA MADRE, CA 91024-1617
Taxonomy
Speciality
Code
Description
License number
State
133NN1002X
Nutrition Education Nutritionist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
45042306
AMERICAN ASSOCIATION OF DRUGLESS PRACTITIONERS
—
Enumeration date
04/08/2021
Last updated
04/08/2021
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