Individual
AMYIA GRIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1933 W 11TH ST STE I, UPLAND, CA 91786-3562
(951) 682-0088
Mailing address
16122 PONDEROSA LN, RIVERSIDE, CA 92504-6155
(909) 499-2443
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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