Jess J Granados

NPI #1104338359 in Santa Monica, California

Provider Information

NPI Number
1104338359
Entity Type
Individual
Name
Jess J Granados
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Technician, Other
Enumeration Date
Oct 27, 2017
Last Updated
Oct 27, 2017

Practice Location

Address
1020 PICO BLVD
ZIP Code
90405-1416
Phone
(310) 314-6200

Specialties & Taxonomy Codes

Specialty
Technician, Other

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