Individual
COURTNEY GRANDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2216 SAN GORGONIO RD, LA CANADA, CA 91011-1351
(818) 967-9754
Mailing address
2216 SAN GORGONIO RD, LA CANADA, CA 91011-1351
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/14/2018
Last updated
12/27/2021
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