Individual
DARRYLYNN NICOLE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3875 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(626) 753-5317
Mailing address
3875 S WESTERN AVE, LOS ANGELES, CA 90062-1105
(213) 321-6262
Taxonomy
Speciality
Code
Description
License number
State
373H00000X
Day Training/Habilitation Specialist
Primary
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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