Individual
MARY GROLLMUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
281 N FAIR AVE, HAMILTON, OH 45011-4242
(513) 868-5610
(513) 868-5615
Mailing address
281 N FAIR AVE, HAMILTON, OH 45011-4242
(513) 868-5610
(513) 868-5615
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
RN170155
OH
Other
Enumeration date
03/19/2014
Last updated
03/19/2014
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