Individual
MARTINIK A GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9018 MANNING AVE, KANSAS CITY, MO 64138-4561
(816) 301-3381
Mailing address
9018 MANNING AVE, KANSAS CITY, MO 64138-4561
(816) 301-3381
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
1661877376
MO
Other
Enumeration date
03/31/2019
Last updated
03/31/2019
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