Individual
SHEALYN GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMP
Contact information
Practice address
13712 NE 20TH AVE, VANCOUVER, WA 98686-2698
(360) 574-5944
(360) 574-6430
Mailing address
13712 NE 20TH AVE, VANCOUVER, WA 98686-2698
(360) 574-5944
(360) 574-6430
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
91-2087673
WA
Other
Enumeration date
05/29/2014
Last updated
05/29/2014
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