Individual
DR. CONNIE FAY GRANTHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
3547 KALLIN AVE, LONG BEACH, CA 90808-3004
(562) 425-3325
(562) 377-3467
Mailing address
3547 KALLIN AVE, LONG BEACH, CA 90808-3004
(562) 425-3325
(562) 377-3467
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC19085
CA
Other
Enumeration date
11/13/2006
Last updated
07/08/2007
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