Provider Demographics
NPI:1013243351
Name:GRANDI, DONNA LOUISE (LCCE, CD(DONA))
Entity Type:Individual
Prefix:
First Name:DONNA
Middle Name:LOUISE
Last Name:GRANDI
Suffix:
Gender:F
Credentials:LCCE, CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8215 ROCKVIEW DR
Mailing Address - Street 2:
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92021-1164
Mailing Address - Country:US
Mailing Address - Phone:619-760-6922
Mailing Address - Fax:
Practice Address - Street 1:8215 ROCKVIEW DR
Practice Address - Street 2:
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92021-1164
Practice Address - Country:US
Practice Address - Phone:619-760-6922
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-21
Last Update Date:2009-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN5573374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula