Individual
WILLIAM GRIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1002 WALNUT AVE NE APT 5, CANTON, OH 44704-1094
(330) 327-7993
Mailing address
1002 WALNUT AVE NE APT 5, CANTON, OH 44704-1094
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
321729620213
OH
Other
Enumeration date
06/19/2019
Last updated
06/19/2019
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