Individual
NATHANIEL GRIMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
901 HARRY S TRUMAN DR, LARGO, MD 20774
(240) 677-3000
(240) 677-0028
Mailing address
901 HARRY S TRUMAN DR, LARGO, MD 20774
(240) 677-0021
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/12/2024
Last updated
05/10/2024
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