Individual
MONICA ANN GRANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 CVS DR, WOONSOCKET, RI 02895-6146
(415) 601-4083
Mailing address
825 HIDDEN POND CT, LAFAYETTE, CA 94549-1744
(415) 601-4083
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
378408
CA
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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