Benjamin M Grant

NPI #1558171900 in Travis Afb, California

Provider Information

NPI Number: 1558171900
Entity Type: Individual
Name: Benjamin M Grant
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 8, 2025
Last Updated: Jan 8, 2025

Practice Location

Address: 101 BODIN CIR
City: Travis Afb
State: California
ZIP Code: 94535-1809
Phone: (918) 207-9961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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