Individual
NICKOLAS PETER GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
310 S HALCYON RD, ARROYO GRANDE, CA 93420-3872
(510) 917-2334
Mailing address
24 DAISY ST, LADERA RANCH, CA 92694-0709
(949) 291-6369
(949) 388-8448
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E6064
CA
Other
Enumeration date
03/24/2021
Last updated
06/13/2024
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