Individual
JENNIFER LYNN GROTHAUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 BROADVIEW AVE, APARTMENT 11, COLUMBUS, OH 43212-2846
(614) 565-4788
Mailing address
1401 BROADVIEW AVE, APARTMENT 11, COLUMBUS, OH 43212-2846
(614) 565-4788
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.379980
OH
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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