Individual
TAV GROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RD
Contact information
Practice address
609 E OREGON AVE STE 200, PHOENIX, AZ 85012-1484
(480) 440-5183
Mailing address
5713 E NISBET RD, SCOTTSDALE, AZ 85254-2435
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
86414942
AZ
Other
Enumeration date
01/20/2025
Last updated
01/20/2025
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