Organization
MARIA SEMBRANO GRANTHOM, M.D. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA SEMBRANO GRANTHOM M.D. (PRESIDENT)
(831) 728-1489
Entity
Organization
Contact information
Practice address
208 GREEN VALLEY RD, FREEDOM, CA 95019-3135
(831) 728-1489
(831) 728-0936
Mailing address
208 GREEN VALLEY RD, FREEDOM, CA 95019-3135
(831) 728-1489
(831) 728-0936
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
A33532
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A335320
—
CA
Enumeration date
08/30/2006
Last updated
12/10/2007
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