Individual
MR. GRANT STUART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2123 WILDFLOWER CIR, BREA, CA 92821-4438
(714) 335-2006
Mailing address
2123 WILDFLOWER CIR, BREA, CA 92821-4438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/28/2015
Last updated
12/05/2019
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