Individual
CAROLINE CORTES GRANADOSIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4309 3RD AVE, SAN DIEGO, CA 92103
(619) 876-4502
Mailing address
3895 COLINA DORADA DR APT M104, SAN DIEGO, CA 92124-2899
(818) 621-9316
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN95144783
CA
Other
Enumeration date
07/31/2018
Last updated
07/31/2018
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