Individual
JANIE GRANTHAM-CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3661 PONDEROSA RD, SHINGLE SPRINGS, CA 95682-9460
(530) 677-2281
Mailing address
3661 PONDEROSA RD, SHINGLE SPRINGS, CA 95682-9460
(530) 677-2281
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
95-46221
CA
Other
Enumeration date
12/13/2024
Last updated
12/13/2024
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