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Individual

ESTEFANY GRANDA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
600 S 43RD ST, PHILADELPHIA, PA 19104-4418
(215) 596-8800
Mailing address
223 GROVE ST, CLIFTON, NJ 07013-1621
(973) 392-9595

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
07/15/2025
Last updated
07/24/2025
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