MARIO MAX GRANVILLE

LONG BEACH, CA
NPI1164859781
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: CA  2254000000X)
Enumeration Date2013-09-27
Last Update Date2013-09-27
Business Address
Mr. MARIO MAX GRANVILLE
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
Mailing Address
Mr. MARIO MAX GRANVILLE
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717