Amanda Renee' Grooms

NPI #1235473034 in Waverly, Ohio

Provider Information

NPI Number
1235473034
Entity Type
Individual
Name
Amanda Renee' Grooms
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Nov 16, 2012
Last Updated
Nov 16, 2012

Practice Location

Address
102 1ST AVE
State
Ohio
ZIP Code
45690-1101
Phone
(740) 708-3920

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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