Individual
MR. ALFRED JAMES GRANT IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN, BSN
Contact information
Practice address
2220 SHIPLEY RD, WILMINGTON, DE 19803-2306
(302) 479-1623
Mailing address
1402 VEALE RD, WILMINGTON, DE 19810-4332
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
L1-0041760
DE
Other
Enumeration date
09/29/2022
Last updated
09/29/2022
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