Jessica Marie Groth, LPN

NPI #1265887178 in Mchenry, Illinois

Provider Information

NPI Number
1265887178
Entity Type
Individual
Name
Jessica Marie Groth, LPN
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Practical Nurse
Credential
LPN
Enumeration Date
Apr 28, 2016
Last Updated
Apr 28, 2016

Practice Location

Address
4031 W DAYTON ST
ZIP Code
60050-8377
Phone
(815) 861-6219

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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