Individual
DR. CHANTELLE R VARRIAL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
6-16 E BLACKWELL ST, DOVER, NJ 07801-4664
(973) 328-2588
Mailing address
PO BOX 468, DOVER, NJ 07802-0468
(973) 328-2588
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MC05185
NJ
Other
Enumeration date
06/12/2007
Last updated
02/08/2010
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