Alyssa Grimm

NPI #1407586183 in Selden, New York

Provider Information

NPI Number
1407586183
Entity Type
Individual
Name
Alyssa Grimm
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Student in an Organized Health Care Education/Training Program
Enumeration Date
Jun 15, 2022
Last Updated
Jun 15, 2022

Practice Location

Address
38 FRAN LN
City
Selden
ZIP Code
11784-2641
Phone
(631) 708-2194

Specialties & Taxonomy Codes

Specialty
Student in an Organized Health Care Education/Training Program

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