Individual
MR. JAMES GRIMMER JR.
Active
Individual
MR. JAMES GRIMMER JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
005121
NY
225700000X
Massage Therapist
021911
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13551676
CAQH
NY
Enumeration date
05/11/2015
Last updated
05/11/2015
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