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Individual

RICHARD A GRIMALDI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CNIM

Contact information

Practice address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 871-6821
Mailing address
76 STARBRUSH CIR, COVINGTON, LA 70433-7208
(985) 871-6821

Taxonomy

Speciality
Code
Description
License number
State
246ZE0600X
Electroneurodiagnostic Specialist/Technologist
Primary
2472E0500X

Other

Enumeration date
05/05/2010
Last updated
05/05/2010
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