Individual
MARJORIE ANNE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2559 MEDICAL DR, ALAMOGORDO, NM 88310-8703
(575) 443-7933
(575) 443-7910
Mailing address
2559 MEDICAL DR, ALAMOGORDO, NM 88310-8703
(575) 443-7933
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
PT00009594
NM
Other
Enumeration date
04/04/2018
Last updated
04/04/2018
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