Individual
MRS. WILANDA THOMAS GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN, BSN, CWOCN
Contact information
Practice address
1 VETERANS DR, MINNEAPOLIS, MN 55417-2309
(612) 629-7036
Mailing address
1 VETERANS DR # SC151, MINNEAPOLIS, MN 55417-2309
(612) 629-7036
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
Primary
211153-1
MN
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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