Individual
MR. DAVID A GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1234 INDIANA ST, SAN FRANCISCO, CA 94107-3406
(415) 282-9675
Mailing address
1234 INDIANA ST, SAN FRANCISCO, CA 94107-3406
(415) 282-9675
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
11/09/2009
Last updated
11/09/2009
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