Individual
CHRYSTAL LANETTE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LVN
Contact information
Practice address
1600 HURRLE ST, BAKERSFIELD, CA 93308-2409
(661) 394-0392
Mailing address
113 E F ST, TEHACHAPI, CA 93561-1710
(661) 822-8223
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
263021
CA
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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