Regina Grant

NPI #1497353304 in Pacoima, California

Provider Information

NPI Number
1497353304
Entity Type
Individual
Name
Regina Grant
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Licensed Vocational Nurse
Enumeration Date
Oct 13, 2020
Last Updated
Oct 13, 2020

Practice Location

Address
12450 VAN NUYS BLVD STE 200
ZIP Code
91331-1393
Phone
(818) 896-1161

Specialties & Taxonomy Codes

Specialty
Licensed Vocational Nurse

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