Individual
MRS. ELIZABETH GROENDYKE WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNP
Contact information
Practice address
601 W 19TH ST, COSTA MESA, CA 92627-5060
(949) 548-8830
Mailing address
28232 PASEO ANDANTE, SAN JUAN CAPISTRANO, CA 92675-3334
(949) 488-2873
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
366510
CA
Other
Enumeration date
03/31/2006
Last updated
12/20/2011
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