Individual
JULIANA GRANILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4420 S 32ND ST, PHOENIX, AZ 85040-2804
(602) 268-8748
Mailing address
2508 W FAWN DR, PHOENIX, AZ 85041-7615
(602) 670-6401
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/24/2023
Last updated
04/24/2023
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