Individual
GLORIA GRIMBLOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDCSP
Contact information
Practice address
800 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8359
(707) 464-8511
Mailing address
800 E WASHINGTON BLVD, CRESCENT CITY, CA 95531-8359
(707) 464-8511
Taxonomy
Speciality
Code
Description
License number
State
133VN1004X
Pediatric Nutrition Registered Dietitian
Primary
707433
NV
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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