Individual
VIOLET MARIE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5850 S MAIN ST, LOS ANGELES, CA 90003-1215
(323) 897-6010
(323) 846-4410
Mailing address
6150 CANOGA AVE, WOODLAND HILLS, CA 91367-3705
(323) 812-2208
Taxonomy
Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
Primary
362911
CA
Other
Enumeration date
06/26/2017
Last updated
06/26/2017
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