Individual
FELICIA ANN GRANGRADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 EQUATOR AVE, NORTH LAS VEGAS, NV 89032-0743
(702) 506-1656
Mailing address
1112 EQUATOR AVE, NORTH LAS VEGAS, NV 89032-0743
(702) 506-1656
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
06/25/2012
Last updated
06/25/2012
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