Individual
BRIAN GROOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11927 ELLIOTT AVE, EL MONTE, CA 91732-3740
(626) 350-5304
Mailing address
4341 GUAVA AVE, SEAL BEACH, CA 90740-2912
(949) 412-8149
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
632407
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/04/2023
Last updated
12/04/2023
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