Individual
CAMERON LEE GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2040 TRAFFIC WAY, ATASCADERO, CA 93422-1523
(805) 801-3012
(805) 221-6046
Mailing address
2040 TRAFFIC WAY, ATASCADERO, CA 93422-1523
(805) 801-3012
(805) 221-6046
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
NP95008409
CA
Other
Enumeration date
08/26/2018
Last updated
08/08/2025
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