Individual
ANDREA GRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
676 WALLINGFORD RD APT 104, LITITZ, PA 17543-8249
(717) 405-0964
Mailing address
676 WALLINGFORD RD APT 104, LITITZ, PA 17543-8249
(717) 405-0964
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/07/2019
Last updated
11/07/2019
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