Individual
JONATHAN PAUL GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
31946 MISSION TRL STE B, LAKE ELSINORE, CA 92530-4539
(951) 471-4300
Mailing address
13 VIA DE LA VALLE, LAKE ELSINORE, CA 92532-0125
(714) 791-6043
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ASW125705
CA
Other
Enumeration date
12/20/2024
Last updated
04/08/2025
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