Individual
MS. DEBRA LYNN GROMACKI-BLYTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
31720 TEMECULA PKWY, SUITE 203, TEMECULA, CA 92592-5802
(951) 303-6900
(951) 303-2900
Mailing address
31720 TEMECULA PKWY, SUITE 203, TEMECULA, CA 92592-5802
(951) 303-6900
(951) 303-2900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10615
CA
Other
Enumeration date
08/25/2008
Last updated
05/21/2013
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