Individual
MRS. JUSTIN G. GRANDIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP ANCC
Contact information
Practice address
4801 S CONGRESS AVE STE 201, LAKE WORTH, FL 33461-4746
(561) 253-3980
(561) 253-3985
Mailing address
4801 S CONGRESS AVE, SUITE 201, LAKE WORTH, FL 33461-4746
(561) 253-3980
(561) 253-3985
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9280808
FL
Other
Enumeration date
02/24/2009
Last updated
10/13/2009
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