Individual
MRS. MARILYN JEAN GROOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2520 HONOLULU AVE, SUITE 180, MONTROSE, CA 91020-1853
(818) 248-8648
(818) 248-7928
Mailing address
2520 HONOLULU AVE, SUITE 180, MONTROSE, CA 91020-1853
(818) 248-8648
(818) 248-7928
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AU1624
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AU0016240
—
CA
Enumeration date
07/18/2006
Last updated
07/08/2007
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