Organization
NANCY J. WYNN-GRUNDY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NANCY JEAN WYNN-GRUNDY NP (NP)
(916) 708-0890
Entity
Organization
Contact information
Practice address
10535 HOSPITAL WAY, MATHER, CA 95655-4200
(916) 708-0890
Mailing address
4500 MONET WAY, GRANITE BAY, CA 95746-6475
(916) 708-0890
Taxonomy
Speciality
Code
Description
License number
State
284300000X
Special Hospital
Primary
17861
CA
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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