Individual
MEREDITH ROSE GRANHOLM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDMT
Contact information
Practice address
701 HOSPITAL LOOP, 92 AMDS/SGPE, FAIRCHILD AFB, WA 99011-8704
(509) 247-5755
(507) 247-8833
Mailing address
701 HOSPITAL LOOP, 92 AMDS/SGPE, FAIRCHILD AFB, WA 99011-8704
(509) 247-5755
(507) 247-8833
Taxonomy
Speciality
Code
Description
License number
State
1710I1003X
Independent Duty Medical Technicians
Primary
—
—
Other
Enumeration date
05/11/2009
Last updated
05/11/2009
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