Individual
MARY GROBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7362 BLACK WALNUT WAY, LAKEWOOD RANCH, FL 34202-6400
(941) 713-2162
Mailing address
7362 BLACK WALNUT WAY, LAKEWOOD RANCH, FL 34202-6400
(941) 713-2162
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
OH
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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