Individual
ABIGAIL ANNE GRANERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2743 MOUNT PLEASANT ST, BURLINGTON, IA 52601
(319) 754-2020
Mailing address
2743 MOUNT PLEASANT ST, BURLINGTON, IA 52601-2137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
092218
IA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/15/2018
Last updated
06/14/2018
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