Individual
PAULA MARIE GRANDBOIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RNFA
Contact information
Practice address
444 S SAN VICENTE BLVD, #603, LOS ANGELES, CA 90048-4165
(310) 423-9211
(310) 423-9958
Mailing address
770 W IMPERIAL AVE, #42, EL SEGUNDO, CA 90245-2053
(310) 251-4532
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
446945
CA
Other
Enumeration date
12/08/2006
Last updated
07/08/2007
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