Individual
BRENDA GRIMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4320 S LOUISE AVE, SUITE 200, SIOUX FALLS, SD 57106-3143
(605) 361-1505
Mailing address
4320 S LOUISE AVE, SUITE 200, SIOUX FALLS, SD 57106-3143
(605) 361-1505
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
14031632
SD
Other
Enumeration date
05/07/2014
Last updated
05/07/2014
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