Individual
MELANIE SARAH GRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1150 DOUGLAS PIKE, SMITHFIELD, RI 02917-1291
(401) 232-6530
(401) 232-6472
Mailing address
1150 DOUGLAS PIKE, SMITHFIELD, RI 02917-1291
(401) 232-6530
(401) 232-6472
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT00228
RI
Other
Enumeration date
06/11/2021
Last updated
06/11/2021
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