Individual
MS. HATTIE CLARK GRUNDLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
558 CLAYTON ST, SAN FRANCISCO, CA 94117-2907
(415) 487-5632
(415) 431-9909
Mailing address
1420 18TH AVE, SAN FRANCISCO, CA 94122-3409
(415) 682-8339
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
14228
CA
Other
Enumeration date
12/18/2006
Last updated
07/08/2007
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