Individual
ELIZABETH GRIGSBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1600 EUREKA RD, ROSEVILLE, CA 95661-3027
(916) 474-7000
Mailing address
9908 TIVOLI DR, STOCKTON, CA 95212-3116
Taxonomy
Speciality
Code
Description
License number
State
2278C0205X
Critical Care Certified Respiratory Therapist
Primary
—
—
2279C0205X
Critical Care Registered Respiratory Therapist
28887
CA
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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