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Sierra J Grooms
Student in an Organized Health Care Education/Training Program in Ithaca, New York
NPI 1174241152

Sierra J Grooms is a Student in an Organized Health Care Education/Training Program based in Ithaca, NY. Sierra J Grooms practices in Ithaca, NY. The NPI Number for Sierra J Grooms is 1174241152 and holds a License No. (New York).

The current practice location address for Sierra J Grooms is 225 S Fulton St Ste D, Ithaca, NY and can be reached out via phone at 607-437-0141.

Location: 225 S Fulton St Ste D, Ithaca, NY, 14850-1609
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174241152
Provider Name
Sierra J Grooms
Credential
Provider Entity Type
Individual
Gender
Female
Address
225 S Fulton St Ste D, Ithaca, NY, 14850-1609
Phone Number
607-437-0141
Fax Number
Provider Enumeration Date
08/16/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
225 S Fulton St Ste D
City
Ithaca
State
New York
Zip
14850-3344
Phone Number
607-437-0141
Fax Number
person
Provider Business Mailing Address Details
Address
225 S Fulton St Ste D
City
Ithaca
State
New York
Zip
14850-3344
Phone Number
607-437-0141
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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