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Individual

MRS. ANN COLLINS GRANT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSRDLD

Contact information

Practice address
310 S RHODES ST, WEST MEMPHIS, AR 72301-4215
(870) 735-5445
Mailing address
804 WALNUT DR, WEST MEMPHIS, AR 72301-6121
(901) 598-3271

Taxonomy

Speciality
Code
Description
License number
State
133VN1005X
Renal Nutrition Registered Dietitian
Primary
711400
AR

Other

Enumeration date
06/02/2008
Last updated
06/02/2008
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