GEORGINA GISELLE GRIMM

OAKLAND, CA
NPI1104367739
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95006100)
Enumeration Date2017-03-15
Last Update Date2017-03-15
Business Address
Ms. GEORGINA GISELLE GRIMM FNP
9925 INTERNATIONAL BLVD #5
OAKLAND, CA 94603-2558
Phone number: 510-777-1177
Mailing Address
Ms. GEORGINA GISELLE GRIMM FNP
5018 SHAFTER AVE
OAKLAND, CA 94609-2221
Phone number: 510-388-3261