Individual
TERIUS GRANDISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
357 WINDIGROVE DR APT 1126, WAYNESBORO, VA 22980-7600
(540) 742-0856
Mailing address
357 WINDIGROVE DR APT 1126, WAYNESBORO, VA 22980-7600
(540) 742-0856
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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