Individual
CAMILLE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
5556 BROAVIEW RD. APT3123, PARMA, OH 44134
(216) 712-5509
Mailing address
5556 BROAVIEW RD. APT3123, PARMA, OH 44134
(216) 712-5509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
156083-M-IV
OH
Other
Enumeration date
10/24/2014
Last updated
10/24/2014
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