Individual
DOROTHY RUTH GRANBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4220 N 20TH AVE, 100, PHOENIX, AZ 85015-5101
(602) 254-9701
(602) 252-0830
Mailing address
14602 N 19TH AVE, 148, PHOENIX, AZ 85023-7102
(480) 347-5702
(602) 252-0830
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
AZ
Other
Enumeration date
09/20/2013
Last updated
09/20/2013
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