Individual
CARLIE GRANDJEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3622 PROSPECT AVE E, CLEVELAND, OH 44115-2704
(216) 431-0234
Mailing address
3811 EVERHARD RD NW, CANTON, OH 44709-4003
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OH
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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