Individual
KATHRYN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1980 LANCASTER LN APT 106, WHEATON, IL 60189-8568
(630) 234-7782
Mailing address
1980 LANCASTER LN APT 106, WHEATON, IL 60189-8568
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
041432924
IL
Other
Enumeration date
12/04/2016
Last updated
12/04/2016
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