Provider Demographics
NPI:1407234164
Name:ARROYO-GRUBBS, GLORIA TERESA (DC)
Entity Type:Individual
Prefix:MRS
First Name:GLORIA
Middle Name:TERESA
Last Name:ARROYO-GRUBBS
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7414 NE HAZEL DELL AVE STE 221
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8348
Mailing Address - Country:US
Mailing Address - Phone:386-882-1592
Mailing Address - Fax:
Practice Address - Street 1:7414 NE HAZEL DELL AVE STE 221
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8348
Practice Address - Country:US
Practice Address - Phone:386-882-1592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-14
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor