Individual
ERIC A GROENENDYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LVN
Contact information
Practice address
33487 WINSTON WAY UNIT A, TEMECULA, CA 92592-5361
(949) 689-7065
Mailing address
33487 WINSTON WAY UNIT A, TEMECULA, CA 92592-5361
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN 231406
CA
Other
Enumeration date
06/04/2008
Last updated
06/04/2008
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