Individual
CHERYL ELAINE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
925 SPID DR, CORPUS CHRISTI, TX 78416-2347
(361) 851-6900
Mailing address
925 SPID DR, CORPUS CHRISTI, TX 78416-2347
(361) 851-6900
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
183795
TX
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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