Nicole Grissom
NPI #1932984937 in Ceres, California
Provider Information
- NPI Number
- 1932984937
- Entity Type
- Individual
- Name
- Nicole Grissom
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Vocational Nurse
- Enumeration Date
- Aug 28, 2023
- Last Updated
- Aug 28, 2023
Practice Location
- Address
- 3016 GLEN PARK WAY
- City
- Ceres
- State
- California
- ZIP Code
- 95307-2928
- Phone
- (541) 778-3099
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Vocational Nurse |
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