Individual
MR. RAY ANTHONY GROSVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2426 BUHNE ST, EUREKA, CA 95501-3207
(707) 442-4038
(707) 442-4039
Mailing address
670 9TH ST STE 203, ARCATA, CA 95521-6249
(707) 826-8633
(707) 826-8638
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
712627
CA
Other
Enumeration date
04/01/2009
Last updated
04/20/2017
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