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Contact Information

SAMANTHA N GRANVILLE, LVN
87-136 KULALA PL
WAIANAE, HI96792-3364
 Phone: 760-646-6006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Vocational Nurse

164X00000X
Indicates primary specialty

NPI Profile & details for SAMANTHA N GRANVILLE · (Female)

NPI # 1265839229
Status Active
Credentials LVN (Licensed Vocational Nurse)
Entity Individual
Enumeration date 11/19/2014
Last updated 11/19/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • CA License # 252862
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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