Individual
CRYSTAL DAWN GRISHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
116 N WESTERN HILLS DR APT 204A, HOWE, TX 75459-2878
(903) 821-0164
Mailing address
116 N WESTERN HILLS DR APT 204A, HOWE, TX 75459-2878
(903) 821-0164
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
223901
TX
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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