Individual
ROXANNE GRANT-DUELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HLP
Contact information
Practice address
12811 CANYON RD E STE D, PUYALLUP, WA 98373-6301
(910) 987-5798
Mailing address
6717 159TH ST E, PUYALLUP, WA 98375-7417
(910) 987-5798
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4489
WA
Other
Enumeration date
06/08/2020
Last updated
06/08/2020
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