Individual
DANIEL GRIMMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
607 DIVISION STREET, NOME, AK 99762
(907) 443-3344
Mailing address
PO BOX 966, NOME, AK 99762-0966
(907) 443-4552
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/11/2016
Last updated
04/11/2016
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