Individual
MR. DOUGLAS NATHANAEL GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
138 SALVADORE DR, CRESTVIEW, FL 32536-1802
(850) 682-2433
Mailing address
138 SALVADORE DR, CRESTVIEW, FL 32536-1802
(850) 682-2433
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
CNA 8761
FL
Other
Enumeration date
01/25/2007
Last updated
07/08/2007
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