Search › California › 164X00000X
Nicole Grissom
NPI 1932984937 · on the registry since 2023 · sole proprietor
Practice
- Address
- 3016 Glen Park Way
Ceres, CA 95307 - Phone
- (541) 778-3099
Registry record
- Primary taxonomy
- 164X00000X
164X00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-08-28
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California