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Individual
LASCELLE CLARENCE GRIZZLE
Active
Individual
LASCELLE CLARENCE GRIZZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP.AP.70143005-NP
WA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN61057523
WA
Other
Enumeration date
09/05/2023
Last updated
07/06/2026
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