Individual
MISS JANINE ANSELMO GRANSTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 2ND ST SW STE 140, AUBURN, WA 98001-5203
(253) 737-5078
Mailing address
21439 15TH AVE S, DES MOINES, WA 98198-3129
(206) 384-3969
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
06/01/2022
Last updated
06/01/2022
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