Individual
TREVOR GRIMBLEBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
500 GLASS LN STE H, MODESTO, CA 95356-9265
(209) 404-0152
(209) 408-8459
Mailing address
500 GLASS LN STE H, MODESTO, CA 95356-9265
(209) 404-0152
(209) 408-8459
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
04/21/2026
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