Individual
MRS. JASAMYN NICHOLS DEGRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
203 COLLEGE VIEW DR, RICHMOND, KY 40475-2403
(606) 371-2935
Mailing address
203 COLLEGE VIEW DR, RICHMOND, KY 40475-2403
(606) 371-2935
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
KY
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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