Individual
MS. LAVONDA M GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN IV THERAPY CERT
Contact information
Practice address
516 VILLAGE CT, NASHVILLE, TN 37206-3135
(615) 482-5355
Mailing address
516 VILLAGE CT, NASHVILLE, TN 37206-3135
(615) 482-5355
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
80358
TN
Other
Enumeration date
12/21/2019
Last updated
12/21/2019
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