Individual
ALYSSA GRANADOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18522 OUTER HWY 18 STE 104, APPLE VALLEY, CA 92307-2321
(760) 646-8525
Mailing address
18522 OUTER HWY 18 STE 104, APPLE VALLEY, CA 92307-2321
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
36677
CA
111NP0017X
Pediatric Chiropractor
36677
CA
Other
Enumeration date
07/13/2023
Last updated
07/13/2023
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