Individual
NICHOLE MENIQUE GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
302 E 13TH ST, APOPKA, FL 32703-4005
(321) 914-8524
Mailing address
302 E 13TH ST, APOPKA, FL 32703-4005
(321) 914-8524
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5252911
FL
Other
Enumeration date
07/10/2023
Last updated
07/25/2024
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