Kandis Grose Ms Rd Ln LLC
NPI #1033855028 in Stevensville, Montana
Provider Information
- NPI Number
- 1033855028
- Entity Type
- Organization
- Organization Name
- Kandis Grose Ms Rd Ln LLC
- Primary Specialty
- Dietitian, Registered
- Enumeration Date
- May 11, 2022
- Last Updated
- May 11, 2022
Practice Location
- Address
- 649 MIDDLE BURNT FORK RD
- City
- Stevensville
- State
- Montana
- ZIP Code
- 59870
- Phone
- (406) 839-3851
Authorized Official
- Name
- KANDIS GROSE, MS, RD, LN
- Title
- OWNER
- Phone
- (406) 839-3851
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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