Individual
DEVIN NATHANIEL GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 S ARROYO PKWY STE 200, PASADENA, CA 91105-3912
(626) 403-2794
Mailing address
4311 EL PRIETO RD, ALTADENA, CA 91001-3729
(626) 689-5674
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
—
—
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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