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Lissette Grillo
Community Health Registered Nurse in Daytona Beach, Florida
NPI 1700668126

Lissette Grillo is a Community Health Registered Nurse based in Deltona, FL and is specialized in Community Health. Lissette Grillo practices in Daytona Beach, FL. The NPI Number for Lissette Grillo is 1700668126 and holds a License No. RN9352671 (Florida).

The current practice location address for Lissette Grillo is 1845 Holsonback Dr, Daytona Beach, FL and can be reached out via phone at 386-274-0500.

Location: 1845 Holsonback Dr, Daytona Beach, FL, 32738-9008
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700668126
Provider Name
Lissette Grillo
Credential
Provider Entity Type
Individual
Gender
Female
Address
1845 Holsonback Dr, Daytona Beach, FL, 32738-9008
Phone Number
386-274-0500
Fax Number
Provider Enumeration Date
10/19/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1845 Holsonback Dr
City
Daytona Beach
State
Florida
Zip
32117-5114
Phone Number
386-274-0500
Fax Number
person
Provider Business Mailing Address Details
Address
1845 Holsonback Dr
City
Daytona Beach
State
Florida
Zip
32117-5114
Phone Number
386-274-0500
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Community Health
Taxonomy
163WC1500X
License No.
RN9352671 (Florida)
Definition
Definition to come...
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