Individual
ANNA VIKTORIA GRANDSTAFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 ZILLOCK RD LOT O043, SAN BENITO, TX 78586-9776
(956) 335-1897
Mailing address
1400 ZILLOCK RD LOT O043, SAN BENITO, TX 78586-9776
(956) 335-1897
Taxonomy
Speciality
Code
Description
License number
State
171R00000X
Interpreter
Primary
LCI-2557
TX
Other
Enumeration date
09/17/2025
Last updated
09/17/2025
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