Individual
DR. TIFANI GRIZZELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M. D.
Contact information
Practice address
624 WARRINGTON AVE SE, BLD 183, WASHINGTON, DC 20374-5022
(202) 433-3758
Mailing address
10505 LORAIN AVE, SILVER SPRING, MD 20901-2413
(301) 681-3007
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
D0063512
MD
Other
Enumeration date
08/26/2005
Last updated
07/20/2015
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