Individual
LASCELLE CLARENCE GRIZZLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
1959 NE PACIFIC STREET, T-301, SEATTLE, WA 98195-7263
(253) 287-0670
Mailing address
1959 NE PACIFIC STREET, T-301, SEATTLE, WA 98195-7263
(253) 287-0670
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
RN61057523
WA
Other
Enumeration date
09/05/2023
Last updated
11/05/2025
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