Individual
MS. MARY GIANGRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 460-1345
Mailing address
8527 ENCANTO WAY, FORT WAYNE, IN 46815-5715
Taxonomy
Speciality
Code
Description
License number
State
163WX0200X
Oncology Registered Nurse
Primary
28164686A
IN
Other
Enumeration date
06/02/2022
Last updated
06/02/2022
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