Individual
MRS. ANGELA D GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2439 MANHATTAN BLVD STE 304, HARVEY, LA 70058
(504) 333-6657
Mailing address
2439 MANHATTAN BLVD STE 304, HARVEY, LA 70058-5341
(504) 333-6657
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
LA
171W00000X
Contractor
—
—
Other
Enumeration date
12/10/2015
Last updated
06/18/2018
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