Individual
PAMELA JEAN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
REGISTED NURSE
Contact information
Practice address
720 WOOD ST, EUREKA, CA 95501-4413
(707) 445-7710
Mailing address
423 SPRUCE ST, EUREKA, CA 95503-6045
(707) 499-1831
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
729980
CA
Other
Enumeration date
02/28/2007
Last updated
11/16/2010
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