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Jennifer Grom
Student in an Organized Health Care Education/Training Program in Springfield, Massachusetts
NPI 1780212118

Jennifer Grom is a Student in an Organized Health Care Education/Training Program based in Pleasantville, MA. Jennifer Grom practices in Springfield, MA. The NPI Number for Jennifer Grom is 1780212118 and holds a License No. (Massachusetts).

The current practice location address for Jennifer Grom is 759 Chestnut St Rm S2575, Springfield, MA and can be reached out via phone at 413-794-3998 and via fax at 413-794-4588.

Location: 759 Chestnut St Rm S2575, Springfield, MA, 10570-3332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780212118
Provider Name
Jennifer Grom
Credential
Provider Entity Type
Individual
Gender
Female
Address
759 Chestnut St Rm S2575, Springfield, MA, 10570-3332
Phone Number
413-794-3998
Fax Number
413-794-4588
Provider Enumeration Date
03/31/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
759 Chestnut St Rm S2575
City
Springfield
State
Massachusetts
Zip
01199-0001
Phone Number
413-794-3998
Fax Number
413-794-4588
person
Provider Business Mailing Address Details
Address
759 Chestnut St Rm S2575
City
Springfield
State
Massachusetts
Zip
01199-0001
Phone Number
413-794-3998
Fax Number
413-794-4588
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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