Most Relevant Information
Provider Data
NPI Number: | 1003558040 |
Provider Name: | PATRIZIA CRISTINA GROB DO |
Entity Type: | Individual |
Taxonomy Code: | 390200000X |
Specialty: | Student in an Organized Health Care Education/Training Program |
License Number: |
Most Important Dates
Enumeration Date: | 04/11/2022 |
Last Updated: | 04/22/2022 |
Provider Practice Location
2817 REILLY RD.
FORT BRAGG
NC
28310
Practice Location Phone/Fax
Phone: | 9109076670 |
Fax: |
Provider Mailing Location
2817 REILLY RD.
FORT BRAGG
NC
28310
Provider Mailing Phone/Fax
Phone: | |
Fax: |