Individual
JENNA GRUNDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
607 RUSSELL PKWY STE A, WARNER ROBINS, GA 31088-7690
(478) 225-9860
Mailing address
607 RUSSELL PKWY STE A, WARNER ROBINS, GA 31088-7690
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN092347
GA
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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