Individual
MRS. ANGELA GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
138 LISMORE DR, WINTERVILLE, NC 28590-8320
(252) 347-3176
Mailing address
138 LISMORE DR, WINTERVILLE, NC 28590-8320
(252) 347-3176
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
05/24/2019
Last updated
05/24/2019
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