Individual
KATHERYN GRAJALES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2646
(973) 761-9000
Mailing address
400 S ORANGE AVE, SOUTH ORANGE, NJ 07079-2646
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
09/25/2015
Last updated
09/25/2015
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