Individual
MRS. MIGNON GRUNDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN BSN
Contact information
Practice address
459 PHILO RD, ELMIRA, NY 14903-1051
(607) 735-3300
Mailing address
459 PHILO RD, ELMIRA, NY 14903-1051
(607) 735-3300
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
468740
NY
Other
Enumeration date
01/25/2024
Last updated
01/25/2024
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