Individual
CORRINE N GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 INTREPID AVE, PHILADELPHIA, PA 19112-1229
(800) 748-3243
Mailing address
215 10TH AVE E APT 138, SEATTLE, WA 98102-6121
(646) 841-2646
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
61233369
WA
Other
Enumeration date
10/19/2022
Last updated
10/19/2022
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