Individual
BOBBIE BERNA GROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
18110 SE 34TH ST, VANCOUVER, WA 98683-9418
(800) 330-3665
Mailing address
18110 SE 34TH ST, VANCOUVER, WA 98683-9418
(800) 330-3665
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
093000424RN
OR
Other
Enumeration date
01/18/2021
Last updated
01/18/2021
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