BRIAN GRISSOM

COVINGTON, LA
NPI1639106891
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN097498)
Enumeration Date2006-06-26
Last Update Date2009-10-30
Business Address
-- BRIAN GRISSOM CRNA
1202 S TYLER ST
COVINGTON, LA 70433-2330
Phone number: 985-898-4000
Mailing Address
-- BRIAN GRISSOM CRNA
120 INNWOOD DR
COVINGTON, LA 70433-9123
Phone number: 985-892-3225
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