Individual
AMANDA L GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2525 CAMINO DEL RIO S STE 130, SAN DIEGO, CA 92108-3718
(619) 473-4388
Mailing address
4470 50TH ST APT 4, SAN DIEGO, CA 92115-3373
(619) 536-5802
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
CA
Other
Enumeration date
01/17/2026
Last updated
01/17/2026
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