Individual
MS. LISA A GRINNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT ITERN
Contact information
Practice address
499 SIERRA VISTA DR, #33, LAS VEGAS, NV 89169-2765
(702) 708-6901
Mailing address
499 SIERRA VISTA DR, #33, LAS VEGAS, NV 89169-2765
(702) 708-6901
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
—
—
Other
Enumeration date
03/30/2012
Last updated
03/30/2012
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