Most Relevant Information
Provider Data
| NPI Number: | 1003372657 |
| Provider Name: | JERRY GRANT GRISWOLD NURSE'S AIDE |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 02/19/2019 |
| Last Updated: | 02/19/2019 |
Provider Practice Location
2829 W 33RD AVE
DENVER
CO
802113231
Practice Location Phone/Fax
| Phone: | 3034333944 |
| Fax: | 3034339717 |
Provider Mailing Location
2829 W 33RD AVE
DENVER
CO
802113231
Provider Mailing Phone/Fax
| Phone: | 3034333944 |
| Fax: | 3034339717 |