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Individual

ELLEN M GROSSMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CNM, RN

Contact information

Practice address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 468-0174
Mailing address
333 LAWS AVE, UKIAH, CA 95482-6540
(707) 468-1010
(707) 468-0174

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN417524
CA
176B00000X
Midwife
CNM1503
CA

Other

Enumeration date
11/08/2006
Last updated
09/11/2025
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