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Alyssa Grimm
Student in an Organized Health Care Education/Training Program in Selden, New York
NPI 1407586183

Alyssa Grimm is a Student in an Organized Health Care Education/Training Program based in Selden, NY. Alyssa Grimm practices in Selden, NY. The NPI Number for Alyssa Grimm is 1407586183 and holds a License No. (New York).

The current practice location address for Alyssa Grimm is 38 Fran Ln, Selden, NY and can be reached out via phone at 631-708-2194.

Location: 38 Fran Ln, Selden, NY, 11784-2641
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407586183
Provider Name
Alyssa Grimm
Credential
Provider Entity Type
Individual
Gender
Female
Address
38 Fran Ln, Selden, NY, 11784-2641
Phone Number
631-708-2194
Fax Number
Provider Enumeration Date
06/15/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
38 Fran Ln
City
Selden
State
New York
Zip
11784-2641
Phone Number
631-708-2194
Fax Number
person
Provider Business Mailing Address Details
Address
38 Fran Ln
City
Selden
State
New York
Zip
11784-2641
Phone Number
631-708-2194
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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