Individual
ALESIA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11801 PIERCE ST STE 200, RIVERSIDE, CA 92505-4400
(909) 435-5136
Mailing address
14007 HEALING WAY, FONTANA, CA 92335-0401
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
113741
CA
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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