Individual
MILKA GRANIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4108 W STELLA LN, PHOENIX, AZ 85019-1449
(602) 995-5834
Mailing address
4108 W STELLA LN, PHOENIX, AZ 85019-1449
(602) 995-5834
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
10956
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
095885
—
AZ
Enumeration date
01/23/2007
Last updated
07/09/2007
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