Groth, Jill Theresa

Groth, Jill Theresa is an individual health care provider with primary practice located at 1440 168Th Ave , San Leandro CA 94578-2409. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Groth, Jill Theresa can be contacted via phone (510) 481-6319.

Contact Information

Primary practice address
1440 168Th Ave San Leandro CA 94578-2409
Phone: (510) 481-6319
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 719758 California

Profile Details

NPI number 1265582159
LBN Legal business name Groth, Jill Theresa
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 11th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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