MRS. Brenda L Grant, LPN
NPI #1164666178 in Florissant, Missouri
Provider Information
- NPI Number
- 1164666178
- Entity Type
- Individual
- Name
- MRS. Brenda L Grant, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Apr 22, 2009
- Last Updated
- Apr 22, 2009
Practice Location
- Address
- 4585 WASHINGTON ST
- Address 2
- SUITE A-4
- City
- Florissant
- State
- Missouri
- ZIP Code
- 63033-5858
- Phone
- (314) 402-4693
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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