Individual
JOHNNA MARIE GRICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 E 3RD ST, JAMESTOWN, NY 14701-5433
(716) 753-8330
(716) 661-8364
Mailing address
7 N ERIE ST, MAYVILLE, NY 14757-1095
(716) 753-4104
(716) 753-4230
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
635744
NY
Other
Enumeration date
12/13/2017
Last updated
12/13/2017
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