Individual
CHARLES PETER GRANDELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1815 CONTRA COSTA ST STE D, SAND CITY, CA 93955-3056
(831) 886-0475
(831) 855-0157
Mailing address
11773 FRANCIS DR, GRASS VALLEY, CA 95949-6681
(831) 886-0475
(831) 855-0157
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
274700004
CA
Other
Enumeration date
01/05/2023
Last updated
06/22/2023
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