Jennifer B Grove O.D.

NPI 1659414316 - Optometrist - 152W00000X

NPI Details
NPI 1659414316
Gender Female
Enumeration Date 02/14/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1155 S DIAMOND BAR BLVD STE J
DIAMOND BAR CA, 91765-2235, US
Phone (909) 861-0163
Fax
Business Location
1155 S DIAMOND BAR BLVD STE J
DIAMOND BAR CA, 91765-2235, US
Phone (909) 861-0163
Fax
Toxanomy
Taxonomy Code 152W00000X
License State California
License Number 9900T
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According to our database, Dr. Jennifer B Grove O.D. NPI is 1659414316, taxonomy code is 152W00000X and license number is 9900T, license state is located at California. Jennifer B Grove O.D. physically located at 1155 S Diamond Bar Blvd Ste J, Diamond Bar CA, 91765-2235. NPI Number Jennifer B Grove O.D. has the Individual type.

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1659414316 NPI number is provided on an as is basis without warranty of any kind. 1659414316 is maintained by the National Plan & Provider Enumeration System. The contents of Jennifer B Grove O.D. are for informational purposes only.