Individual
BRIANNA NICHOLE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
210 N TUSTIN AVE, SANTA ANA, CA 92705-3807
(888) 959-5912
Mailing address
4675 LINTON BLVD STE 102, DELRAY BEACH, FL 33445-6615
(954) 839-5923
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1093332090
FL
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/25/2020
Last updated
11/15/2023
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