Devona Renay Grant
Specialist/Technologist, Athletic Trainer in Spring, TX. Individual provider (NPI-1).
NPI number1306572342
StatusActive
Last updated in NPPESJul 30, 2022
Details
- NPI
- 1306572342
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Devona Renay Grant
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 30, 2022
- Certification date
- Jul 27, 2022
- Last updated
- Jul 30, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 708518 | GA | Yes |
Practice location
7451 Bethpage LnSpring, TX 77389-1695
Phone 404-759-3960
Mailing address
7451 Bethpage LnSpring, TX 77389-1695
Phone 404-759-3960
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