Individual
MEGAN C GRANDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
1409 E LAKE MEAD BLVD, N LAS VEGAS, NV 89030-7120
(702) 657-5512
(702) 649-2300
Mailing address
PO BOX 19387, PLANTATION, FL 33318-0387
(877) 693-5700
(954) 625-6034
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA1253
NV
Other
Enumeration date
04/14/2011
Last updated
04/14/2011
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