Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACKELINE GRIMALDO
Active Sole ProprietorSpecialist/Technologist, Other · SAN ANTONIO, TX
Registration Details
- NPI Number
- 1760077358
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 4, 2021 (5.135132184901 yrs)
- Last Updated
- Mar 4, 2021
- Sole Proprietor
- Yes
Practice Information
- Address
-
6298 LOCKHILL RD UNIT 1004SAN ANTONIO, TX, 782402053Browse TX providers · Browse ZIP 78240
- Phone
- 2102790875
- Fax
- 2108067576
- Primary Specialty
-
Specialist/Technologist, Other
246Y00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.