Nicole Marie Granger, LMT, LMP

NPI #1003045832 in Vancouver, Washington

Provider Information

NPI Number
1003045832
Entity Type
Individual
Name
Nicole Marie Granger, LMT, LMP
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Chiropractor
Credential
LMT, LMP
Enumeration Date
Jul 14, 2009
Last Updated
Mar 12, 2013

Practice Location

Address
13712 NE 20TH AVE
ZIP Code
98686-2698
Phone
(360) 574-5944

Specialties & Taxonomy Codes

Specialty
Chiropractor

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