Individual
LATOYA LENORE THURSTON-GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 ROANOKE ST, REIDSVILLE, NC 27320-3023
(336) 349-4255
Mailing address
PO BOX 1241, REIDSVILLE, NC 27323-1241
(336) 589-8197
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
FCL-079-057
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805236
—
NC
Enumeration date
03/26/2007
Last updated
07/08/2007
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