Individual
JASON ALAN GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
S.T.N.A.
Contact information
Practice address
1766 LEXVIEW CIR, MANSFIELD, OH 44907-2916
(234) 567-7082
Mailing address
1766 LEXVIEW CIR, MANSFIELD, OH 44907-2916
(234) 567-7082
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
12/27/2011
Last updated
02/28/2022
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