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NPI Code Detail

MEDICARE: PERRIETTE GRANT

MEDICARE:   PERRIETTE  GRANT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374J00000XDoula

General Provider Information

NPI Number : 1740060466
Entity Type Code : Individual
Provider Name (Legal Business Name) : PERRIETTE GRANT
Provider Business Mailing Address
First Line : 5098 BLUE HORIZON PT
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-4882
Country : US
Telephone Number : 858-361-6042
Fax Number :
Provider Business Practice Location Address
First Line : 5098 BLUE HORIZON PT
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-4882
Country : US
Telephone Number : 858-361-6042
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2023
Last Update Date : 10/02/2023

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Directions to “ PERRIETTE GRANT ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.