Individual
MR. JEFF S GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1320 COLLEGE ST SE, LACEY, WA 98503
(360) 459-1320
(360) 923-1970
Mailing address
1320 COLLEGE ST SE, LACEY, WA 98503
(360) 459-1320
(360) 923-1970
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2654
WA
Other
Enumeration date
10/03/2006
Last updated
07/08/2007
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