Individual provider · Type 1 NPI

Carlie Grandjean

Student in an Organized Health Care Education/Training Program · Cleveland, OH

NPI number 1760159032 Active

Practice location

3622 Prospect Ave E
Cleveland, OH 44115-2704

Mailing address

3811 Everhard Rd NW
Canton, OH 44709-4003

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1760159032

Carlie Grandjean's National Provider Identifier is 1760159032, issued on Aug 25, 2021. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cleveland, OH. The record was last updated on Aug 25, 2021.