Individual
MICHELLE GRASSIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3409 RED HAWK LN, FREDERICK, CO 80504-6306
(303) 656-0080
Mailing address
3409 RED HAWK LN, FREDERICK, CO 80504-6306
(303) 656-0080
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
L-17180
CO
Other
Enumeration date
12/20/2024
Last updated
12/20/2024
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