Individual
SUSAN KAYE GRIMEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2251 EASTERN BLVD, YORK, PA 17402-2917
(717) 840-2740
Mailing address
2251 EASTERN BLVD, YORK, PA 17402-2917
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN251761L
PA
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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