Individual
MITZI GRANNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 955-9227
(541) 955-7499
Mailing address
806 NW 6TH ST, GRANTS PASS, OR 97526-1525
(541) 955-9227
(541) 955-7499
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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