Individual
DIANA GROVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1133 COLOMA WAY, ROSEVILLE, CA 95661-4480
(916) 774-6647
Mailing address
855 HOWE AVE, SACRAMENTO, CA 95825-3912
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
95396568
CA
164X00000X
Licensed Vocational Nurse
720292
CA
Other
Enumeration date
07/13/2022
Last updated
07/28/2025
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