ANGELA MARIE GRANT

MERIDIAN, ID
NPI1649822479
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: ID  53224)
Enumeration Date2019-07-11
Last Update Date2019-07-11
Business Address
ANGELA MARIE GRANT NP-C
2321 E GALA ST STE 3
MERIDIAN, ID 83642-7692
Phone number: 208-888-5848
Mailing Address
ANGELA MARIE GRANT NP-C
5715 N DUXBURY PIER LN
GARDEN CITY, ID 83714-5021
Phone number: 208-921-1868
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