Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Bobbie Nicole Grant, CERTHAIRLOSSSPEC

Individual provider Prosthetics Case Management · NPI 1790242980

Bobbie Nicole Grant, CERTHAIRLOSSSPEC is a Prosthetics Case Management in San Jose, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

2757 White Acres Dr
San Jose, CA 95148-3692
Phone: (408) 508-0531
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 415 E Taylor St, San Jose, CA 95112-3127 — (408) 508-0531

Specialties & licences

Prosthetics Case Management (primary) Taxonomy 1744P3200X · Licence KK502776 (CA)

Record details

NPI number1790242980
Entity typeIndividual (Type 1)
GenderFemale
Credentials CERTHAIRLOSSSPEC
Sole proprietorYes
NPI enumeratedFebruary 25, 2019
Last updated in NPPESFebruary 25, 2019

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