CANDICE GRONBERG

Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child

Active Individual
NPI: 1356632087

Practice Address

4 ROBERTS ROAD
Lander, WY 82520

Phone: (307) 332-9122

Specialties

Specialty Code Primary License
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child 385HR2060X Yes 114858300 (WY)

Frequently Asked Questions

NPI 1356632087 is the National Provider Identifier for CANDICE GRONBERG, a Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child provider located in Lander, WY. This NPI was enumerated on April 28, 2011.
CANDICE GRONBERG practices at 4 ROBERTS ROAD, Lander, WY 82520.

Quick Facts

NPI
1356632087
Type
Individual
Enumerated
Apr 28, 2011
Last Updated
Apr 28, 2011

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