Individual
VANESSA RAE GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.
Contact information
Practice address
229 WILSON AVE, PANAMA CITY, FL 32401-3294
(954) 290-2679
Mailing address
229 WILSON AVE, PANAMA CITY, FL 32401-3294
(954) 290-2679
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW254
FL
Other
Enumeration date
11/09/2011
Last updated
08/07/2012
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