Individual
MR. COLBY BEN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS-SC(5)
Contact information
Practice address
2380 SALVIO ST STE 200, CONCORD, CA 94520-2193
(925) 602-1750
Mailing address
2380 SALVIO ST STE 200, CONCORD, CA 94520-2193
(925) 602-1750
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/21/2017
Last updated
09/21/2017
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