Individual
TANYA L GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 331, BELCOURT, ND 58316-0331
(701) 278-2927
Mailing address
407 HIGHLAND ST, ROLETTE, ND 58366-7256
(701) 278-2927
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
ND
Other
Enumeration date
06/14/2024
Last updated
06/14/2024
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