Sierra J Grooms

NPI #1174241152 in Ithaca, New York

Provider Information

NPI Number: 1174241152
Entity Type: Individual
Name: Sierra J Grooms
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Aug 16, 2022
Last Updated: Aug 16, 2022

Practice Location

Address: 225 S FULTON ST STE D
City: Ithaca
State: New York
ZIP Code: 14850-3344
Phone: (607) 437-0141

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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