Individual
BRUNISHA GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
55 DOMINICAN RD, LA PLACE, LA 70068-3438
(504) 343-6774
Mailing address
55 DOMINICAN RD, LA PLACE, LA 70068-3438
(504) 343-6774
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
130808
LA
Other
Enumeration date
04/27/2016
Last updated
04/27/2016
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