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Brandon J Grant
Psychiatric/Mental Health Nurse Practitioner in Norwalk, California
NPI 1417509878

Brandon J Grant is a Psychiatric/Mental Health Nurse Practitioner based in Norwalk, CA and is specialized in Psychiatric/Mental Health. Brandon J Grant practices in Norwalk, CA. The NPI Number for Brandon J Grant is 1417509878 and holds a License No. 95012207 (California).

The current practice location address for Brandon J Grant is 12440 Firestone Blvd, Norwalk, CA and can be reached out via phone at 562-864-7821.

Location: 12440 Firestone Blvd, Norwalk, CA, 90650-4328
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1417509878
Provider Name
Brandon J Grant
Credential
Provider Entity Type
Individual
Gender
Male
Address
12440 Firestone Blvd, Norwalk, CA, 90650-4328
Phone Number
562-864-7821
Fax Number
Provider Enumeration Date
07/15/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12440 Firestone Blvd
City
Norwalk
State
California
Zip
90650-4328
Phone Number
562-864-7821
Fax Number
person
Provider Business Mailing Address Details
Address
12440 Firestone Blvd
City
Norwalk
State
California
Zip
90650-4328
Phone Number
562-864-7821
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
95012207 (California)
Definition
Definition to come...
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