GABRIEL JUSTIN GROOM

EUREKA, CA
NPI1518497452
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy163WP0808X Registered Nurse, Psych/Mental Health
(Licence: CA  95119299)
Enumeration Date2017-06-14
Last Update Date2017-06-14
Business Address
GABRIEL JUSTIN GROOM RN
720 WOOD ST
EUREKA, CA 95501-4413
Phone number: 707-268-2990
Mailing Address
GABRIEL JUSTIN GROOM RN
280 ALDERGROVE RD
ARCATA, CA 95521-8902
Phone number: 707-845-6735