| NPI | 1679939961 |
|---|---|
| Former Name | CHANTELLE ROSE GRENINGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 164X00000X Licensed Vocational Nurse (Licence: CA LVN-284207) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: LVN-284207) |
| Enumeration Date | 2016-01-03 |
| Last Update Date | 2020-02-20 |