Individual
CINDY GRANGROTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5244 25TH ST SW, WAVERLY, MN 55390-5025
(763) 658-7026
Mailing address
5244 25TH ST SW, WAVERLY, MN 55390-5025
(763) 658-7026
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
1016003-3-AFC
MN
Other
Enumeration date
06/08/2010
Last updated
06/08/2010
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