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Jenna Grantham
NPI 1841984283 · on the registry since 2023 · sole proprietor
Practice
- Address
- 1551 N State Highway 161 Apt 1010
Grand Prairie, TX 75050 - Phone
- (706) 818-4204
Registry record
- Primary taxonomy
- 2355S0801X
2355S0801X
- Licence states on file
- TX
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-06-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Texas