Individual
MS. JESSICA BETH LIFSHUTZ-GRINBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPO
Contact information
Practice address
84 MADRONE ST, WILLITS, CA 95490-4249
(707) 937-3003
(707) 937-6267
Mailing address
PO BOX 1738, MENDOCINO, CA 95460-1738
(707) 937-6267
(707) 937-1967
Taxonomy
Speciality
Code
Description
License number
State
222Z00000X
Orthotist
Primary
1667
VA
224P00000X
Prosthetist
1667
VA
Other
Enumeration date
05/21/2007
Last updated
09/20/2018
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