Individual
MICHELLE APRIL LOVELACE GRANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3730 CROWN POINT AVE, OMAHA, NE 68111-1133
(402) 677-8874
Mailing address
3730 CROWN POINT AVE, OMAHA, NE 68111-1133
(402) 677-8874
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
03/20/2025
Last updated
03/20/2025
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