Individual
LEIGHA GRANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1375 R DALE WERTZ DR, BAD AXE, MI 48413-1365
(989) 269-9293
Mailing address
1375 R DALE WERTZ DR, BAD AXE, MI 48413-1365
(989) 269-9293
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/27/2021
Last updated
07/27/2021
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