MR. Douglas Nathanael Grimes, CNA

NPI #1104972108 in Crestview, Florida

Provider Information

NPI Number: 1104972108
Entity Type: Individual
Name: MR. Douglas Nathanael Grimes, CNA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: CNA
Enumeration Date: Jan 25, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 138 SALVADORE DR
City: Crestview
State: Florida
ZIP Code: 32536-1802
Phone: (850) 682-2433

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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Ruston L Hess	Student in an Organized Health Care Education/Training Program	Jacksonville	AI Deep Dive

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