Individual
MS. GENENE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
25200 ROCKSIDE RD, BLD. C #414, BEDFORD, OH 44146-1941
(216) 240-5834
Mailing address
25200 ROCKSIDE RD, BLD. C #414, BEDFORD, OH 44146-1941
(216) 240-5834
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
142638
OH
Other
Enumeration date
11/25/2011
Last updated
11/25/2011
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