Individual
CHRISTOPHER GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5446 BOULDER HWY # G3, LAS VEGAS, NV 89122-6069
(702) 291-7121
Mailing address
6408 PEPPERMILL DR, LAS VEGAS, NV 89146-0801
(702) 278-2778
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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