Individual
MICHELLE MIGNOR GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
(808) 474-0625
Mailing address
480 CENTRAL AVE, PEARL HARBOR, HI 96860-4908
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201000596
VA
Other
Enumeration date
10/02/2008
Last updated
10/02/2008
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