Individual
MRS. CAROL B. GRANADOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.,R.D.,C.D.E.
Contact information
Practice address
501 S BUENA VISTA ST, BURBANK, CA 91505-4809
(818) 847-3478
(818) 847-3484
Mailing address
10842 KEYWEST AVE, NORTHRIDGE, CA 91326-2621
(818) 831-9077
(818) 847-3484
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
717322
CA
Other
Enumeration date
07/22/2008
Last updated
07/22/2008
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