DIANE TACKIE GRANILLO, LLC
Physician Assistant - Medical
Active
Organization
NPI: 1972393171
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant - Medical | 363AM0700X | Yes | - |
Frequently Asked Questions
NPI 1972393171 is the National Provider Identifier for DIANE TACKIE GRANILLO, LLC, a Physician Assistant - Medical provider located in Towson, MD. This NPI was enumerated on May 9, 2025.
Quick Facts
- NPI
- 1972393171
- Type
- Organization
- Enumerated
- May 9, 2025
- Last Updated
- Oct 7, 2025
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