Individual
WENDY GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
323 N MARYLAND PKWY, LAS VEGAS, NV 89101-3130
(702) 385-3330
(702) 207-7155
Mailing address
1711 WHITNEY MESA DR, HENDERSON, NV 89014-2080
(702) 385-2020
(702) 658-6608
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1093119836
—
NV
Enumeration date
10/21/2014
Last updated
12/13/2017
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