Organization
GRANDVIEW DME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWN VIGNEAU DC (SOLE MBR)
(480) 290-9899
Entity
Organization
Contact information
Practice address
4765 S LAKESHORE DR, TEMPE, AZ 85282-7197
(480) 930-4018
Mailing address
4765 S LAKESHORE DR, TEMPE, AZ 85282-7197
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/03/2018
Last updated
12/13/2018
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