Individual
TATIANA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Mailing address
1127 MOKAPU BLVD, KAILUA, HI 96734-1845
(808) 381-1120
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN689587
PA
Other
Enumeration date
04/22/2019
Last updated
04/22/2019
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