(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003543372
Provider Name: MAHALA GROHMAN LPN
Entity Type: Individual
Taxonomy Code: 164W00000X
Specialty: Licensed Practical Nurse
License Number: 238896
Most Important Dates
Enumeration Date: 08/05/2022
Last Updated: 08/05/2022
Provider Practice Location
910 E WASHINGTON ST
PHOENIX
AZ
850341006
Practice Location Phone/Fax
Phone: 6025235885
Fax:
Provider Mailing Location
910 E WASHINGTON ST
PHOENIX
AZ
850341006
Provider Mailing Phone/Fax
Phone: 6025235885
Fax: