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: |