Fawn Grenz B.A.

NPI 1063765444 - Case Manager/Care Coordinator - 171M00000X

NPI Details
NPI 1063765444
Gender Female
Enumeration Date 10/22/2012
Last Updated 10/22/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
3960 WALNUT DR
EUREKA CA, 95503-8938, US
Phone (707) 268-8722
Fax
Business Location
3960 WALNUT DR
EUREKA CA, 95503-8938, US
Phone (707) 268-8722
Fax
Toxanomy
Taxonomy Code 171M00000X
License State
License Number
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According to our database, Fawn Grenz B.A. NPI is 1063765444, taxonomy code is 171M00000X Fawn Grenz B.A. physically located at 3960 Walnut Dr, Eureka CA, 95503-8938. NPI Number Fawn Grenz B.A. has the Individual type.

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1063765444 NPI number is provided on an as is basis without warranty of any kind. 1063765444 is maintained by the National Plan & Provider Enumeration System. The contents of Fawn Grenz B.A. are for informational purposes only.