Individual
MAHALA GROHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
910 E WASHINGTON ST, PHOENIX, AZ 85034-1006
(602) 523-5885
Mailing address
910 E WASHINGTON ST, PHOENIX, AZ 85034-1006
(602) 523-5885
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
238896
AZ
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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