NPI 1194187252
Jeanette Denise Grant
Practice location
- Address
- 501 W Broadway STE 800, San Diego, CA 92101-3546
- Phone
- (888) 880-9270
- Mailing address
- 500 Fairway Dr STE 102, Deerfield Beach, FL 33441-1817
Registered specialties
Developmental Therapist
Primary
Registry record
- NPI
- 1194187252
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 27 Mar 2016
- Record last updated
- 27 Mar 2016
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.