Individual
ALYSSA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3030 LIMITED LN NW, OLYMPIA, WA 98502-2704
(360) 704-7562
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-0502
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
WDL43SNG013B
WA
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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