Individual
JERRI SUZETTE GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3708 20TH ST, LUBBOCK, TX 79410-1228
(806) 744-8999
Mailing address
1127 W 4TH ST, LITTLEFIELD, TX 79339-3003
(806) 385-1009
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
674472
TX
Other
Enumeration date
02/20/2018
Last updated
02/20/2018
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