Individual
MR. JERRY GRANT GRISWOLD II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE'S AIDE
Contact information
Practice address
2829 W 33RD AVE, DENVER, CO 80211-3231
(303) 433-3944
(303) 433-9717
Mailing address
2829 W 33RD AVE, DENVER, CO 80211-3231
(303) 433-3944
(303) 433-9717
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
02/19/2019
Last updated
02/19/2019
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