Doctor Name: | MS. ELAINE TIZZ GROSSMAN |
NPI Number: | 1083699763 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S., R.D. |
License Number: | |
Business Practice Address: | Sturgis Street Bldg. 1145 Box 788250 Twentynine Palms, CA - 922788250 |
Business Phone Number: | 7608302120 |
Business Fax Number: | |
Mailing Address: | Sturgis Street Bldg. 1145, Box 788250 TWENTYNINE PALMS |
State: | CA |
Postal Code: | 922788250 |
Phone Number: | 7608302120 |
Fax Number: | |
NPI Enumeration Date: | 12/14/2005 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 133V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Dietary & Nutritional Service Providers |
Taxonomy Classification: | Dietitian, Registered |
Taxonomy Specialization: | |
Taxonomy Definition: | A registered dietician (RD) is a food and nutrition expert who has successfully completed a minimum of a bachelor |