Gabrielle Lecheminant Grimmer

NPI #1851933501 in Salt Lake City, Utah

Provider Information

NPI Number: 1851933501
Entity Type: Individual
Name: Gabrielle Lecheminant Grimmer
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Enumeration Date: Oct 15, 2019
Last Updated: Nov 2, 2021

Practice Location

Address: 590 S WAKARA WAY
City: Salt Lake City
State: Utah
ZIP Code: 84108-1200
Phone: (801) 587-7109

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary
Physician Assistant - Surgical — Surgical	363AS0400X

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