Individual
PEARL VIRGINIA GRANSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA III
Contact information
Practice address
1 MAIN ST, PERRYVILLE, AK 99648
(907) 853-2202
(907) 853-2260
Mailing address
PO BOX 93, PERRYVILLE, AK 99648
(907) 853-4100
(907) 853-2260
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
15-1359-III
AK
Other
Enumeration date
01/19/2016
Last updated
01/19/2016
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