Individual
NORMA JEAN GRIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
321 BERNICE ST, ROCHESTER, NY 14615-2101
(585) 329-9953
Mailing address
321 BERNICE ST, ROCHESTER, NY 14615-2101
(585) 329-9953
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
285227
NY
Other
Enumeration date
12/02/2018
Last updated
12/02/2018
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