Most Relevant Information
Provider Data
| NPI Number: | 1003368143 |
| Provider Name: | AUTUMN LIMEGROVER |
| Entity Type: | Individual |
| Taxonomy Code: | 133V00000X |
| Specialty: | Dietitian, Registered |
| License Number: | 86050709 |
Most Important Dates
| Enumeration Date: | 10/25/2016 |
| Last Updated: | 10/25/2016 |
Provider Practice Location
150 MONUMENT RD
STE 207
BALA CYNWYD
PA
190041702
Practice Location Phone/Fax
| Phone: | 8002038657 |
| Fax: | 8002581426 |
Provider Mailing Location
150 MONUMENT RD
STE 207
BALA CYNWYD
PA
190041702
Provider Mailing Phone/Fax
| Phone: | 8002038657 |
| Fax: | 8002581426 |