Individual
SABRINA GRANNISS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
IBCLC
Contact information
Practice address
558 HORSE HILL RD, WESTBROOK, CT 06498-2810
(860) 416-6143
Mailing address
558 HORSE HILL RD, WESTBROOK, CT 06498-2810
(860) 416-6143
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-17163
CT
Other
Enumeration date
12/10/2019
Last updated
12/10/2019
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