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Search › California › 106H00000X

Tierra Grundy, MA

NPI 1467960187 · on the registry since 2018 · sole proprietor

Practice

Address
14344 Cajon Ave
Victorville, CA 92392
Phone
(760) 243-3999
Fax
(760) 243-9559
Organisation at this address
Greater Hope Foundation For Children Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
106H00000X
106H00000X
Licence states on file
CA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2018-11-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California