Individual
NUK GRIER-WARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1300 E SHAW AVE, FRESNO, CA 93710-7917
(559) 554-9710
Mailing address
1913 E PORTOLA AVE, FRESNO, CA 93726-0225
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
96932270D
—
CA
Enumeration date
12/23/2022
Last updated
12/23/2022
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