Individual
DARRELL GRENNOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
13548 232ND ST, LAURELTON, NY 11413-2536
(718) 506-8221
Mailing address
13548 232ND ST, LAURELTON, NY 11413-2536
(718) 506-8221
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
Primary
291286-1
NY
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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