Individual
LOVELY GRANDIN JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
199 SPRING ST # 1, BROCKTON, MA 02301-3742
(508) 371-6861
Mailing address
199 SPRING ST # 1, BROCKTON, MA 02301-3742
(508) 371-6861
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN2384110
MA
Other
Enumeration date
03/13/2025
Last updated
03/13/2025
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