THEODORE ANDREW GRANT-FUNCK

SAN LEANDRO, CA
NPI1952887648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2018-07-16
Last Update Date2018-07-16
Business Address
THEODORE ANDREW GRANT-FUNCK
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444
Mailing Address
THEODORE ANDREW GRANT-FUNCK
2275 ARLINGTON DR
SAN LEANDRO, CA 94578-1132
Phone number: 510-317-1444