Individual
JOSHUA HEROLD VERNON GRANLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
REGISTERED NURSE
Contact information
Practice address
2524 HANNAH AVE NW, BEMIDJI, MN 56601-2110
(218) 210-2100
(218) 444-5677
Mailing address
2524 HANNAH AVE NW, BEMIDJI, MN 56601-2110
(218) 210-2100
(218) 444-5677
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
2473835
MN
Other
Enumeration date
11/04/2021
Last updated
11/04/2021
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