Individual
KIANNA D GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 BROCKTON DR APT H, RALEIGH, NC 27604-9228
(919) 696-7716
Mailing address
4211 BROCKTON DR APT H, RALEIGH, NC 27604-9228
(919) 696-7716
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/19/2025
Last updated
05/19/2025
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