Individual
PAYTON K GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
910 MADISON AVE, MEMPHIS, TN 38103-3403
(901) 448-5500
Mailing address
910 MADISON AVE, MEMPHIS, TN 38103-3403
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
08/06/2025
Last updated
08/06/2025
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