Individual
TRICIA LEE GRIMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
2349 DUNHAM ST, CLINTON, IA 52732
(563) 321-9544
(563) 242-2521
Mailing address
2349 DUNHAM ST, CLINTON, IA 52732-6936
(563) 321-9544
(563) 242-2521
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NT10942
DHS PROVIDER NUMBER
IA
Enumeration date
06/15/2017
Last updated
07/21/2022
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