Individual
MS. MIKEEAH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5546 CAMINO AL NORTE STE 376, NORTH LAS VEGAS, NV 89031-0805
(775) 354-9956
Mailing address
5546 CAMINO AL NORTE STE 376, NORTH LAS VEGAS, NV 89031-0805
(702) 415-5905
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
05/17/2012
Last updated
10/29/2012
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