Individual
MARION SANDRA-DEE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
294 BEECHWOOD AVE, BRIDGEPORT, CT 06604-2419
(203) 572-9335
Mailing address
294 BEECHWOOD AVE, BRIDGEPORT, CT 06604-2419
(203) 572-9335
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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