KATHLEEN GRUNBAUM JOHNSON

MONROVIA, CA
NPI1801314158
Former NameKATHLEEN THERESA GRUNBAUM
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy167G00000X Licensed Psychiatric Technician
(Licence: CA  PT32661)
Enumeration Date2017-09-07
Last Update Date2022-07-21
Business Address
KATHLEEN GRUNBAUM JOHNSON
902 S MYRTLE AVE
MONROVIA, CA 91016-1765
Phone number: 626-357-3258
Mailing Address
KATHLEEN GRUNBAUM JOHNSON
902 S MYRTLE AVE
MONROVIA, CA 91016-3427
Phone number: 626-357-3258