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ROSSALYA ARACELY GRANDA GUTIERREZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3101 CHURCHILL DR STE 100, FLOWER MOUND, TX 75022-2717
(210) 582-5304
(210) 582-5307
Mailing address
935 SPRING VALLEY PLZ, RICHARDSON, TX 75080-6727

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
363AM0700X
Medical Physician Assistant
Primary
PA13107
TX

Other

Enumeration date
11/25/2019
Last updated
08/03/2023
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