Norma P Grandberry, IDMT
NPI #1740583350 in Clovis, New Mexico
Provider Information
- NPI Number
- 1740583350
- Entity Type
- Individual
- Name
- Norma P Grandberry, IDMT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Military Health Care Provider - Independent Duty Medical Technicians
- Credential
- IDMT
- Enumeration Date
- Dec 21, 2010
- Last Updated
- Dec 21, 2010
Practice Location
- Address
- 1501 WESTCHESTER ST
- City
- Clovis
- State
- New Mexico
- ZIP Code
- 88101-4638
- Phone
- (757) 286-4505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Military Health Care Provider - Independent Duty Medical Technicians — Independent Duty Medical Technicians |
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