Individual
JESSELYN GRIMSHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
246QM0706X
Medical Technologist
Primary
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
02/13/2023
Last updated
02/13/2023
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