SOPHIA R GRANT

MORENO VALLEY, CA
NPI1841215613
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: CA  A66209)
Additional Taxonomies207P00000X Emergency Medicine
(Licence: CA  A66209)
207PP0204X Emergency Medicine, Pediatric Emergency Medicine
(Licence: TX  N6326)
208000000X Pediatrics
(Licence: OK  24883)
2080C0008X Pediatrics, Child Abuse Pediatrics
(Licence: CA  A66209)
Enumeration Date2006-07-13
Last Update Date2021-06-07
Business Address
SOPHIA R GRANT MD
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-4345
Mailing Address
SOPHIA R GRANT MD
26520 CACTUS AVE
MORENO VALLEY, CA 92555-3927
Phone number: 951-486-4345