JACQUELYN EILA GRANDT

LOS ANGELES, CA
NPI1528281979
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: CA  246177)
Enumeration Date2007-04-11
Last Update Date2009-03-17
Business Address
Mrs. JACQUELYN EILA GRANDT NP
1441 EASTLAKE AVE # 3440
LOS ANGELES, CA 90089-0112
Phone number: 323-865-3900
Mailing Address
Mrs. JACQUELYN EILA GRANDT NP
1441 EASTLAKE AVE # 3440
LOS ANGELES, CA 90089-0112
Phone number: 323-865-3900