Individual
ELIZABETH MARIE GRENVILLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1400 X ST, SACRAMENTO, CA 95818-2200
(916) 738-7400
Mailing address
1400 X ST, SACRAMENTO, CA 95818-2200
(916) 738-7400
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
—
—
372600000X
Adult Companion
Primary
1629884044
CA
Other
Enumeration date
12/10/2024
Last updated
05/01/2025
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