Individual
MS. MELINDA ANN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S.R.T. (T)
Contact information
Practice address
6215 DIXIE DR, LA MESA, CA 91942-3629
(619) 438-4375
Mailing address
6215 DIXIE DR, LA MESA, CA 91942-3629
(619) 438-4375
Taxonomy
Speciality
Code
Description
License number
State
2471R0002X
Radiation Therapy Radiologic Technologist
Primary
RHT00092220
CA
Other
Enumeration date
05/07/2008
Last updated
08/24/2009
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