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Individual

KRISTA MARIE GRIMMETT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
202 GARDENVILLE DR, YORKTOWN, VA 23693-4408
(340) 690-3725
Mailing address
202 GARDENVILLE DR, YORKTOWN, VA 23693-4408
(340) 690-3725

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006375
VA

Other

Enumeration date
01/05/2019
Last updated
01/05/2019
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