Individual
AUDREY J GRISWOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
9514 RAY RD, GAINES, MI 48436-9634
(810) 498-7106
Mailing address
9514 RAY RD, GAINES, MI 48436-9634
(810) 498-7106
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
4704320538
MI
Other
Enumeration date
01/29/2020
Last updated
01/29/2020
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