Individual
MR. EARL SUZETTE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
4926 W BROAD ST, RICHMOND, VA 23230-3122
(804) 673-5241
(804) 977-6244
Mailing address
75OO SECRETARIAT DRIVE, MIDLOTHIAN, VA 23112-2311
(804) 244-4796
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002088309
VA
Other
Enumeration date
07/28/2025
Last updated
07/28/2025
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