Individual
GWENDOLYN D GRANDCHAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 239-7459
Mailing address
8383 W ALAMEDA AVE, LAKEWOOD, CO 80226-3007
(303) 239-7459
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
96113
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017265
KAISER-COMMERCIAL NUMBER
—
Enumeration date
03/07/2007
Last updated
02/29/2008
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