Individual
MR. GARY L GRIESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
1265 SW PACIFIC AVE, CHEHALIS, WA 98532-3624
(360) 352-3302
(360) 748-8767
Mailing address
1265 SW PACIFIC AVE, CHEHALIS, WA 98532-3624
(360) 352-3302
(360) 748-8767
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP00054336
WA
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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