Organization
CORINNE GRANT
Active
Organization
CORINNE GRANT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORINNE GRANT GRANT B.S., M.S., L.AC. (ACUPUNCTURIST/HERBALIST)
(415) 212-8808
Entity
Organization
Contact information
Practice address
45 SAN CLEMENTE DR, SUITE 130, CORTE MADERA, CA 94925-1244
(415) 212-8808
Mailing address
1161 MEADOWCREST DR, CORTE MADERA, CA 94925-1779
(415) 212-8808
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
16177
CA
Other
Enumeration date
05/08/2015
Last updated
05/08/2015
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