NPI 1063884971
Samantha Grant
Practice location
- Address
- 12530 Braddock Dr APT 222a, Los Angeles, CA 90066-6849
- Phone
- (310) 266-7102
Registered specialties
Nutritionist
Primary
Registry record
- NPI
- 1063884971
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Oct 2015
- Record last updated
- 30 Oct 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.