Individual
NORMA GROOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
223 W COLE BLVD, CALEXICO, CA 92231-9722
(760) 357-2020
(760) 357-1056
Mailing address
1166 K ST, BRAWLEY, CA 92227-2737
(760) 344-9951
Taxonomy
Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
RN255734
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
255734
RN LICENSE
CA
01
—
9528
RNP
CA
Enumeration date
04/03/2007
Last updated
12/20/2011
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