Individual
SHANNON GRANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S.
Contact information
Practice address
5300 MCCONNELL AVE, LOS ANGELES, CA 90066-7026
(310) 482-5589
Mailing address
5300 MCCONNELL AVE, LOS ANGELES, CA 90066-7026
(310) 482-5589
Taxonomy
Speciality
Code
Description
License number
State
170300000X
Genetic Counselor (M.S.)
Primary
2002135
CA
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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