Individual
MS. CHARLENE OVID-GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16360 ROSCOE BLVD, VAN NUYS, CA 91406-1219
(818) 901-4830
Mailing address
22044 CLARENDON STREET, APT.328, WOODLAND HILLS, CA 91367
(818) 384-5940
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
VN139459
CA
Other
Enumeration date
06/08/2016
Last updated
08/05/2016
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