Individual
MS. BEVERLY GRANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2536 LAFAYETTE DR, DAVIS, CA 95618-1548
(510) 866-9699
Mailing address
2536 LAFAYETTE DR, DAVIS, CA 95618-1548
(510) 866-9699
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
374645
CA
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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