Individual
SUZETTE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4053 COMPASS ROSE WAY, LAS VEGAS, NV 89108-5479
(702) 396-2899
Mailing address
4053 COMPASS ROSE WAY, LAS VEGAS, NV 89108-5479
(702) 396-2899
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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