Individual
MR. CHARLES VINCENT GROVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
3853 ROSECRANS ST, SAN DIEGO, CA 92110-3115
(619) 692-8222
Mailing address
3111 CAMINO DEL RIO N STE 1200, SAN DIEGO, CA 92108-5747
(619) 209-3696
Taxonomy
Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
756989
CA
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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