Individual
CRYSTAL MARIE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19251 MACK AVE # MI, GROSSE POINTE WOODS, MI 48236-2893
(313) 343-1370
(248) 712-4381
Mailing address
555 LAKEWOOD ST, DETROIT, MI 48215-3234
(313) 633-5756
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
05/03/2023
Last updated
05/03/2023
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