Jessica Grover, D.O.
Student in an Organized Health Care Education/Training Program in Buffalo, NY. Individual provider (NPI-1).
NPI number1497319909
StatusActive
Last updated in NPPESJun 8, 2022
Details
- NPI
- 1497319909
- Entity type
- Individual (NPI-1)
- Name
- Jessica Grover
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 30, 2019
- Certification date
- Jun 8, 2022
- Last updated
- Jun 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
100 High St # A701Buffalo, NY 14203-1126
Phone 716-859-1128
Mailing address
100 High St # A701Buffalo, NY 14203-1126
Phone 716-859-1128 · Fax 248-937-5023
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