Individual
CORDIA GRANDEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
535 STRATFORD RD, FALLSTON, MD 21047-2913
(443) 798-0433
Mailing address
535 STRATFORD RD, FALLSTON, MD 21047-2913
(443) 798-0433
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LGP4090
MD
Other
Enumeration date
03/24/2016
Last updated
03/24/2016
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