Individual
JESSICA L. GRUBB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
27 HILLSIDE RD, POTTSVILLE, PA 17901-8891
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN257759L
PA
Other
Enumeration date
10/20/2009
Last updated
10/20/2009
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