MRS. Ecclesia Luciana Grant, LDO
NPI #1437476868 in College Park, Georgia
Provider Information
- NPI Number
- 1437476868
- Entity Type
- Individual
- Name
- MRS. Ecclesia Luciana Grant, LDO
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Technician/Technologist - Optician
- Credential
- LDO
- Enumeration Date
- Apr 25, 2010
- Last Updated
- May 13, 2010
Practice Location
- Address
- 5534 OLD NATIONAL HWY
- Address 2
- SUITES 100-B
- City
- College Park
- State
- Georgia
- ZIP Code
- 30349-3212
- Phone
- (404) 432-1772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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