NPI 1740583350

Norma P Grandberry, IDMT

Practitioner Independent Duty Medical Technicians Clovis, NM

Practice location

Address: 1501 Westchester St, Clovis, NM 88101-4638
Phone: (757) 286-4505

Registered specialties

Independent Duty Medical Technicians Primary

Other Service Providers Taxonomy 1710I1003X

Other Military Health Care Provider providers in New Mexico →

Registry record

NPI: 1740583350
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Dec 2010
Record last updated: 21 Dec 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.