Olivia Grace Granger, PA-C

NPI #1013795921 in Oxnard, California

Provider Information

NPI Number: 1013795921
Entity Type: Individual
Name: Olivia Grace Granger, PA-C
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA-C
Enumeration Date: Sep 20, 2023
Last Updated: Oct 26, 2023

Practice Location

Address: 1100 W GONZALES RD
City: Oxnard
State: California
ZIP Code: 93036-3336
Phone: (805) 988-0053

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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