Individual
CAROL ELIZABETH GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1812 MADDOX ST, RICHMOND, VA 23223-3828
(804) 401-2278
Mailing address
1812 MADDOX ST, RICHMOND, VA 23223-3828
(804) 401-2278
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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