IRVIN GRANSTROM

LAS VEGAS, NV
NPI1003519463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225400000X Rehabilitation Practitioner
Enumeration Date2023-03-24
Last Update Date2023-03-24
Business Address
IRVIN GRANSTROM
3680 N RANCHO DR
LAS VEGAS, NV 89130-3180
Phone number: 702-646-5437
Mailing Address
IRVIN GRANSTROM
3680 N RANCHO DR
LAS VEGAS, NV 89130-3180
Phone number: