Search › Washington › 101YM0800X
Jeanette Granstrom, AA, BA, MACP
NPI 1891151361 · on the registry since 2016 · sole proprietor
Practice
- Address
- 4047 Heritage Ave E
Fife, WA 98424 - Phone
- (253) 259-8645
Registry record
- Primary taxonomy
- 101YM0800X
101YM0800X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2016-01-13
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 Washington