Individual provider · NPI-1
Joanna Grijalva, CNA
Home Health Aide · Spring, TX
NPI number1790965812
StatusActive
Last updated in NPPESNov 6, 2007
Details
- NPI
- 1790965812
- Entity type
- Individual (NPI-1)
- Name
- Ms. Joanna Grijalva
- Credential
- CNA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 6, 2007
- Last updated
- Nov 6, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | 11818423 | TX | Yes |
Practice location
23131 Pennsgrove RdSpring, TX 77373-7025
Phone 281-784-1924
Mailing address
23131 Pennsgrove RdSpring, TX 77373-7025
Phone 281-784-1924
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