Individual
BRUESHANA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
96 CLINIC RD N, BOX ELDER, MT 59521-8849
(406) 395-4486
(406) 395-4408
Mailing address
96 CLINIC RD N, BOX ELDER, MT 59521-8849
(406) 395-4486
(406) 395-4408
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
104339
MT
Other
Enumeration date
01/26/2017
Last updated
01/26/2017
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