Individual
THERESA GRANITTO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14630 KEENELAND CIR, NORTH POTOMAC, MD 20878-3771
(301) 520-7474
Mailing address
14630 KEENELAND CIR, NORTH POTOMAC, MD 20878-3771
(301) 520-7474
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RN1047999
DC
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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