Individual
MARY PAYTON GRIMMETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
17240 HEARTBEAT CIRCLE, COVINGTON, LA 70435
(985) 867-3073
Mailing address
258 HIGHWAY 906, MONTEREY, LA 71354-4002
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
LA
Other
Enumeration date
03/28/2024
Last updated
03/28/2024
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