Individual
SUSAN GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
460 WINEBROOK WAY, FOUNTAIN, CO 80817-2356
(719) 322-2618
Mailing address
460 WINEBROOK WAY, FOUNTAIN, CO 80817-2356
(719) 322-2618
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
07/09/2016
Last updated
07/09/2016
About Stedi
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