IndividualActive
Gloria Grimblot, RDCSP
NPI 1912044504 · Pediatric Nutrition Registered Dietitian · Crescent City, CA
Provider details
- NPI number
- 1912044504
- Entity type
- Individual
- Primary specialty
- Pediatric Nutrition Registered DietitianDietary & Nutritional Service Providers
- Credential
- RDCSP
- Sex
- Female
- Sole proprietor
- No
- License
- 707433 (NV)
Specialties & taxonomies
Dietary & Nutritional Service Providers
Practice location
800 E Washington Blvd
Crescent City, CA 95531-8359
Phone: (707) 464-8511
Approximate (ZIP-level) locationGet directions
Mailing address
800 E Washington Blvd
Crescent City, CA 95531-8359
Registry dates
- Enumerated
- 2007-01-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.