Individual
AMY JOANNA GRUNDVIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3300 TRUXTUN AVE, BAKERSFIELD, CA 93301-3137
(661) 868-6601
(661) 868-6847
Mailing address
3300 TRUXTUN AVE, BAKERSFIELD, CA 93301-3137
(661) 868-6601
(661) 868-6847
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/02/2008
Last updated
01/02/2008
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