Individual
LINDA GROOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
470 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 287-4713
(520) 287-9794
Mailing address
470 S OCOTILLO AVE, BENSON, AZ 85602-6403
(520) 287-4713
(520) 287-9794
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN066905
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN066905
RN
AZ
Enumeration date
07/11/2008
Last updated
07/11/2008
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