KIMBERLY LEACH GRANTHAM

SHREVEPORT, LA
NPI1669611463
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: LA  RN097823-AP05716)
Enumeration Date2009-02-18
Last Update Date2012-06-05
Business Address
-- KIMBERLY LEACH GRANTHAM CRNA
1171 PELICAN CREEK DR
SHREVEPORT, LA 71106-8539
Phone number: 318-780-0716
Mailing Address
-- KIMBERLY LEACH GRANTHAM CRNA
1171 PELICAN CREEK DR
SHREVEPORT, LA 71106-8539
Phone number: 318-780-0716
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