Individual
JAQUE D GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1567 MAPLEGROVE RD, SOUTH EUCLID, OH 44121-3025
(216) 624-6899
Mailing address
1917 S TAYLOR RD UNIT 619, CLEVELAND HEIGHTS, OH 44118-2103
(216) 373-3297
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
498393
OH
164W00000X
Licensed Practical Nurse
161550
OH
Other
Enumeration date
11/02/2017
Last updated
08/07/2023
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