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Henry Grandberry

NPI 1578112686 · on the registry since 2019 · sole proprietor

Practice

Address
501 Hancock
501 Hancock
Saint Joseph, LA 71366
Phone
(318) 535-4756

Registry record

Primary taxonomy
225XR0403X
225XR0403X
Licence states on file
LA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-09-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Louisiana