Gloria Grimblot in Crescent City - Nutrition, Pediatric
Gloria Grimblot - NPI 1912044504
Gloria Grimblot is a Nutrition, Pediatric in Crescent City, California. Gloria Grimblot practices all healthcare services and medical treatments related to Nutrition, Pediatric. The NPI Number for Gloria Grimblot is 1912044504. The last update date is 2007-07-08.
Gloria Grimblot's current location address is 800 E Washington Blvd, Crescent City, California. You can contact this provider via phone number 7074648511. The mailing address for Gloria Grimblot is 800 E Washington Blvd, Crescent City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gloria Grimblot |
|---|---|
| Address | 800 E Washington Blvd, Crescent City, California |
| Phone Number | 7074648511 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | RDCSP |
NPI Number Detail
| NPI Number | 1912044504 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 800 E Washington Blvd |
|---|---|
| City | Crescent City |
| State | California (CA) |
| Post Code | 955318359 |
| Phone Number | 7074648511 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Nutrition, Pediatric |
|---|---|
| Taxonomy | 133Vn1004X |
| Licence No | 707433 |
|
Definition: An individual who is a Board Certified Specialist in Pediatric Nutrition and applies evidence-based nutrition knowledge in providing medical nutrition therapy for pediatric patients. Specialists work directly with healthy and/or ill children (newborn |
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Post Comment/ Review Below
What is the unique identifier code issued to Gloria Grimblot by the Centers for Medicare & Medicaid Services (CMS)?
The Gloria Grimblot has been assigned the NPI (National Provider Identifier) 1912044504. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Gloria Grimblot's facilities are situated?
The facilities of Gloria Grimblot are physically located at the following address: 800 E Washington Blvd, Crescent City, CA, 955318359.
What is Gloria Grimblot's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Gloria Grimblot is Nutrition, Pediatric, and the taxonomy code that classifies this field of practice is 133Vn1004X.
On what date was the 1912044504 assigned to Gloria Grimblot?
The Gloria Grimblot was issued its 1912044504 on 2007-01-31, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Gloria Grimblot, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gloria Grimblot, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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