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Individual

MARIA SEMBRANO GRANTHOM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
208 GREEN VALLEY RD, FREEDOM, CA 95019-3135
(831) 728-1489
(831) 728-0936
Mailing address
PO BOX 1870, WATSONVILLE, CA 95077-1870
(831) 728-0222
(831) 707-2777

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
00A335320
CA
207V00000X
Obstetrics & Gynecology Physician
Primary
A33532
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00A335320
CA
Enumeration date
01/24/2008
Last updated
02/14/2025
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