BRANDON J GRANT

NORWALK, CA
NPI1417509878
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner Psychiatric/Mental Health
(Licence: CA  95012207)
Enumeration Date2019-07-15
Last Update Date2019-10-21
Business Address
BRANDON J GRANT
12440 FIRESTONE BLVD
NORWALK, CA 90650-4328
Phone number: 562-864-7821
Mailing Address
BRANDON J GRANT
12440 FIRESTONE BLVD
NORWALK, CA 90650-4328
Phone number: 562-864-7821
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