Individual
JOSE GRANDE JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHT
Contact information
Practice address
1406 W EDINGER AVE, SANTA ANA, CA 92704-4307
(714) 546-6191
(714) 546-5037
Mailing address
1406 W EDINGER AVE, SANTA ANA, CA 92704-4307
(714) 546-6191
(714) 546-5037
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
104218
CA
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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