Ethan Terrell Grant
Ethan Terrell Grant is a Personal Care Attendant in Clarksburg, West Virginia. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
Clarksburg, WVNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Personal Care Attendant (primary) | Taxonomy 3747P1801X |
|---|
Record details
| NPI number | 1174110951 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | December 28, 2020 |
| Last updated in NPPES | December 28, 2020 |
| Certification date | December 28, 2020 |
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