Individual
GRANT TURLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2830 LAKE RD, APT 515, HUNTSVILLE, TX 77340-5640
(208) 403-4090
Mailing address
2830 LAKE RD, APT 515, HUNTSVILLE, TX 77340-5640
(208) 403-4090
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/17/2017
Last updated
02/17/2017
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