Individual
RACHEL MARLEEN GROVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1171 STATE ROUTE 28 STE A100, MILFORD, OH 45150-2154
(513) 831-4811
(513) 831-0169
Mailing address
1171 STATE ROUTE 28 STE A100, MILFORD, OH 45150-2154
(513) 831-4811
(513) 831-0169
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
50007109RX
OH
363AM0700X
Medical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0456561
—
OH
Enumeration date
05/26/2020
Last updated
03/01/2024
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