Individual
MS. CARNEKA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3726 W 112TH ST, INGLEWOOD, CA 90303-2708
(323) 301-6208
Mailing address
3726 W 112TH ST, INGLEWOOD, CA 90303-2708
(323) 301-6208
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
175F00000X
Naturopath
—
—
Other
Enumeration date
06/06/2019
Last updated
06/07/2019
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