(800) 868-1923

Most Relevant Information


Provider Data
NPI Number: 1003554916
Provider Name: DEBRA JO GRANT
Entity Type: Individual
Taxonomy Code: 3747P1801X
Specialty: Technician
License Number:
Most Important Dates
Enumeration Date: 05/22/2022
Last Updated: 05/22/2022
Provider Practice Location
5905 O ST
LINCOLN
NE
685102235
Practice Location Phone/Fax
Phone: 4024361000
Fax:
Provider Mailing Location
5905 O ST
LINCOLN
NE
685102235
Provider Mailing Phone/Fax
Phone: 4024361000
Fax: