Individual
GRANT BALANCIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9500 EUCLID AVE, CLEVELAND, OH 44195-0001
(800) 223-2273
Mailing address
5398 HAWKS NEST CIR, SHEFFIELD VILLAGE, OH 44054-3111
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.481876
OH
Other
Enumeration date
07/27/2024
Last updated
07/27/2024
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