Individual
COLETTE L. GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
3860 CALLE FORTUNADA, STE 200, SAN DIEGO, CA 92123-4800
(858) 636-4300
(858) 636-4319
Mailing address
32577 CAMINITO ROSADA, TEMECULA, CA 92592-1262
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
G65865
CA
Other
Enumeration date
03/20/2007
Last updated
02/01/2011
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