Individual
NICOLE GRANERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1000 S MAPLE AVE, GLEN ROCK, NJ 07452-2821
(201) 389-6900
Mailing address
1000 S MAPLE AVE, GLEN ROCK, NJ 07452-2821
(201) 389-6900
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00795000
NJ
Other
Enumeration date
04/17/2023
Last updated
08/11/2023
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