Individual
CORINNE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
45 SAN CLEMENTE DR STE B220, CORTE MADERA, CA 94925-3311
(415) 377-5626
Mailing address
1161 MEADOWCREST DR, CORTE MADERA, CA 94925-1779
(415) 377-5626
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16177
CA
Other
Enumeration date
06/20/2019
Last updated
06/20/2019
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