Individual
ALYSSA GRIMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
38 FRAN LN, SELDEN, NY 11784-2641
(631) 708-2194
Mailing address
38 FRAN LN, SELDEN, NY 11784-2641
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/15/2022
Last updated
06/15/2022
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