Individual
MS. PAM SUE GRASSMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RNC
Contact information
Practice address
1552 COFFEE RD, MODESTO, CA 95355-3107
(209) 521-4372
(209) 523-2005
Mailing address
1552 COFFEE RD, MODESTO, CA 95355-3107
(209) 521-4372
(209) 523-2005
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
332355
CA
363LA2200X
Adult Health Nurse Practitioner
Primary
332355
CA
Other
Enumeration date
05/02/2007
Last updated
09/11/2025
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