Individual
MATTAHSHUN SIMONE VAN-GRIGSBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 212-8066
Mailing address
8912 VOLUNTEER LN, SACRAMENTO, CA 95826-3221
(916) 212-8066
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
MPSS-MSXYOI
CA
Other
Enumeration date
06/07/2024
Last updated
04/29/2025
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