Individual
DARRIS DARNELL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1906 E BROADWAY AVE SUITE 1, 1906 E BROADWAY AVE SUITE 1, BISMARCK, ND 58501
(701) 516-3322
Mailing address
1906 E BROADWAY AVE SUITE 1, 1906 E BROADWAY AVE SUITE 1, BISMARCK, ND 58501
(701) 516-3322
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
DUM00000
ND
Other
Enumeration date
07/26/2024
Last updated
07/26/2024
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