MIKAYLA ALICE GRANT

LIVERMORE, CA
NPI1437852985
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: CA  95024930)
Additional Taxonomies163W00000X Registered Nurse
(Licence: CA  95245076)
Enumeration Date2023-03-23
Last Update Date2024-10-23
Business Address
MIKAYLA ALICE GRANT
634 JOYCE ST
LIVERMORE, CA 94550-2313
Phone number: 304-596-4423
Mailing Address
MIKAYLA ALICE GRANT
634 JOYCE ST
LIVERMORE, CA 94550-2313
Phone number: 304-596-4423