Individual
ERIN MICHELLE GROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5646 SPRINGFIELD URBANA PIKE LOT 98, URBANA, OH 43078-9428
(160) 928-7696
Mailing address
5646 SPRINGFIELD URBANA PIKE LOT 98, URBANA, OH 43078-9428
(160) 928-7696
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106500000X
—
OH
Enumeration date
11/03/2022
Last updated
11/03/2022
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