Courtney Gambino, MS, RD, CDCES
Dietitian, Registered in Saint Joseph, MI. Individual provider (NPI-1).
NPI number1659073757
StatusActive
Last updated in NPPESMar 21, 2023
Details
- NPI
- 1659073757
- Entity type
- Individual (NPI-1)
- Name
- Courtney Gambino
- Credential
- MS, RD, CDCES
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 21, 2023
- Certification date
- Mar 21, 2023
- Last updated
- Mar 21, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 133V00000X | Dietitian, Registered | 86102231 | – | Yes |
Practice location
3900 Hollywood RdSaint Joseph, MI 49085-9149
Phone 269-556-7187
Mailing address
16260 Red Arrow HwyUnion Pier, MI 49129-9320
Phone 219-561-6873
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