Individual
JANELLE GRIZZLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8102 TOWN WALK DR, HAMDEN, CT 06518-3715
(631) 838-1196
Mailing address
8102 TOWN WALK DR, HAMDEN, CT 06518-3715
(631) 838-1196
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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